Scott, Clarence

Scott, Clarence is an sole proprietor health care provider with primary practice located at 1061 Medical Center Dr Suite 101, Orange City FL 32763-8200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Scott, Clarence can be contacted via phone (386) 917-5547.

Contact Information

Primary practice address
1061 Medical Center Dr Suite 101 Orange City FL 32763-8200
Phone: (386) 917-5547
Fax: (386) 917-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME59756 Florida

Profile Details

NPI number 1851437164
LBN Legal business name Scott, Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Mar 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851437164 NPPES
Florida MEDICAID 2742845

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