Healthcare Provider Details

I. General information

NPI: 1427913623
Provider Name (Legal Business Name): DANIELLE SCOTT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6807 W COMMERCIAL BLVD
LAUDERHILL FL
33319-2116
US

IV. Provider business mailing address

237 NW 122ND AVE
CORAL SPRINGS FL
33071-8042
US

V. Phone/Fax

Practice location:
  • Phone: 954-451-8297
  • Fax:
Mailing address:
  • Phone: 954-451-8297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8274
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: