MEDICARE: MS. MARCIA SCOTT BA

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1104174507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCIA SCOTT BA

Provider Business Mailing Address
First Line	:	1179 NW 60TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-1039
Country	:	US
Telephone Number	:	305-588-3529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1179 NW 60TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-1039
Country	:	US
Telephone Number	:	305-588-3529
Fax Number	:

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

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	04/03/2013

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Directions to “ MS. MARCIA SCOTT BA” Practice Location

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