Williams, Scot T

Williams, Scot T is an sole proprietor health care provider with primary practice located at 1034 Mar Walt Dr Suite 100, Fort Walton Beach FL 32547-6645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williams, Scot T can be contacted via phone (850) 315-9213.

Contact Information

Primary practice address
1034 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6645
Phone: (850) 315-9213
Fax: (850) 315-9350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103018 Florida

Profile Details

NPI number 1942205190
LBN Legal business name Williams, Scot T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Feb 23rd, 2017 - about 9 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 1942205190 NPPES
Florida Other 1467583010 MEDICARE NPI GROUP
Florida MEDICAID 002879600 MEDICARE NPI GROUP
Florida MEDICAID 1467589010 MEDICARE NPI GROUP
Florida Other DC690A MEDICARE NPI GROUP

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