Individual
JACQUELINE JORDAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1463 OAKFIELD DR, SUITE 113, BRANDON, FL 33511
(813) 684-2211
(813) 685-0895
Mailing address
9329 DEER CREEK DR, TAMPA, FL 33647
(813) 684-2211
(813) 685-0895
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME94417
FL
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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