Healthcare Provider Details

I. General information

NPI: 1205853389
Provider Name (Legal Business Name): FREDERICK SCOTT BIGGS P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2254 HIGHWAY A1A
INDIAN HARBOUR BEACH FL
32937-4922
US

IV. Provider business mailing address

2254 HIGHWAY A1A
INDIAN HARBOUR BEACH FL
32937-4922
US

V. Phone/Fax

Practice location:
  • Phone: 321-777-2273
  • Fax: 321-779-7425
Mailing address:
  • Phone: 321-777-2273
  • Fax: 321-779-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA3508
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9103660
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: