Individual
MR. SCOTT ALYN COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PS9104674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00212400
—
FL
01
—
PA9104674
MEDICAL LICENSE
FL
Enumeration date
09/16/2008
Last updated
11/14/2016
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