Scott, Randall

Scott, Randall is an sole proprietor health care provider with primary practice located at 3189 Highway 17 , Green Cove Springs FL 32043-9371. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Scott, Randall can be contacted via phone (904) 621-0643.

Contact Information

Primary practice address
3189 Highway 17 Green Cove Springs FL 32043-9371
Phone: (904) 621-0643
Fax: (904) 621-0644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS 11177 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS11177 Florida

Profile Details

NPI number 1619138658
LBN Legal business name Scott, Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2008
Last updated Sep 21st, 2022 - about 4 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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