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NPI Code Detail

MEDICARE: MR. SCOTT ALLEN MCWILLIAMS BC-HIS

MEDICARE: MR. SCOTT ALLEN MCWILLIAMS BC-HIS
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
1237700000XHearing Instrument SpecialistAS -2785FL

General Provider Information

NPI Number : 1245490200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT ALLEN MCWILLIAMS BC-HIS
Provider Business Mailing Address
First Line : 697 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-331-1966
Fax Number :
Provider Business Practice Location Address
First Line : 697 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-331-1966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 06/12/2008

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