MEDICARE: SCOTT BRAY A.P.,L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP789	FL

General Provider Information

NPI Number	:	1851414668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT BRAY A.P.,L.AC.

Provider Business Mailing Address
First Line	:	10967 LAKE UNDERHILL RD
Second Line	:	SUITE 109
City	:	ORLANDO
State	:	FL
Zip	:	32825-4457
Country	:	US
Telephone Number	:	407-658-1341
Fax Number	:	407-704-1576

Provider Business Practice Location Address
First Line	:	10967 LAKE UNDERHILL RD
Second Line	:	SUITE 109
City	:	ORLANDO
State	:	FL
Zip	:	32825-4457
Country	:	US
Telephone Number	:	407-658-1341
Fax Number	:	407-704-1576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2007
Last Update Date	:	07/21/2016

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Directions to “ SCOTT BRAY A.P.,L.AC.” Practice Location

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