Healthcare Provider Details

I. General information

NPI: 1124953823
Provider Name (Legal Business Name): SCOTT HINDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 16TH CT APT E6
GAINESVILLE FL
32608-1508
US

IV. Provider business mailing address

4009 SW 37TH ST
GAINESVILLE FL
32608-2392
US

V. Phone/Fax

Practice location:
  • Phone: 352-284-3138
  • Fax:
Mailing address:
  • Phone: 352-284-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberH367420070000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: