Organization
SCOTT D. CLOUGH, OD , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D CLOUGH (PRESIDENT)
(727) 255-2039
Entity
Organization
Contact information
Practice address
10041 US HIGHWAY 19 STE A, PORT RICHEY, FL 34668-3785
(727) 859-9009
(727) 868-0819
Mailing address
13837 KING AVE, HUDSON, FL 34667-1329
(727) 255-2039
(727) 868-0819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001528000
—
FL
Enumeration date
02/10/2012
Last updated
02/24/2012
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