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NPI Code Detail

MEDICARE: MR. JEREMY SCOTT WEST PA-C

MEDICARE: MR. JEREMY SCOTT WEST PA-C
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
1363A00000XPhysician AssistantPA9115272FL

General Provider Information

NPI Number : 1952042830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEREMY SCOTT WEST PA-C
Provider Business Mailing Address
First Line : 1265 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6574
Country : US
Telephone Number : 772-569-7706
Fax Number : 772-569-7752
Provider Business Practice Location Address
First Line : 1265 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6574
Country : US
Telephone Number : 772-567-6340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 12/10/2025

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