Healthcare Provider Details

I. General information

NPI: 1720850407
Provider Name (Legal Business Name): CHRISTY ANN SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 NORTH BLVD W
DAVENPORT FL
33837-8990
US

IV. Provider business mailing address

2221 NORTH BLVD W
DAVENPORT FL
33837-8990
US

V. Phone/Fax

Practice location:
  • Phone: 863-421-7600
  • Fax:
Mailing address:
  • Phone: 863-421-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11029211
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: