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NPI Code Detail

MEDICARE: CLARE LEOTA SCOTT DNP, APRN-C, CSW

MEDICARE: CLARE LEOTA SCOTT DNP, APRN-C, CSW
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
1163WW0000XWound Care Registered NurseAPRN11019739FL
2363L00000XNurse Practitioner26NO10496100NJ
3363LA2200XAdult Health Nurse PractitionerAPRN11019739FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710162995
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE LEOTA SCOTT DNP, APRN-C, CSW
Provider Business Mailing Address
First Line : 2400 MAITLAND CENTER PKWY STE 310
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7442
Country : US
Telephone Number : 352-632-9018
Fax Number : 352-329-1810
Provider Business Practice Location Address
First Line : 2400 MAITLAND CENTER PARKWAY
Second Line : SUITE 310
City : MAITLAND
State : FL
Zip : 32751-7442
Country : US
Telephone Number : 352-329-1800
Fax Number : 352-329-1810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 06/09/2022

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