Individual
ALEXIS TAYLOR SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5123 4TH AVE CIR E, BRADENTON, FL 34208
(941) 744-5510
Mailing address
5123 4TH AVE CIR E, BRADENTON, FL 34208
(941) 744-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9112571
FL
363A00000X
Physician Assistant
Primary
9112571
FL
Other
Enumeration date
09/24/2019
Last updated
08/31/2021
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