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Individual

SCOTT W HEDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DCPA

Contact information

Practice address
3475 SHERIDAN ST, SUITE 207, HOLLYWOOD, FL 33021-3663
(954) 987-2220
(954) 987-2217
Mailing address
3475 SHERIDAN ST, SUITE 207, HOLLYWOOD, FL 33021-3663
(954) 987-2220

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH0005834
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050928100
FL
01
22406
BCBS
FL
Enumeration date
01/30/2007
Last updated
03/09/2015
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