Ivy, Scott Douglas

Ivy, Scott Douglas is an individual health care provider with primary practice located at 11004 Rockledge View Dr , Riverview FL 33579-2370. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Ivy, Scott Douglas can be contacted via phone (813) 531-2383.

Contact Information

Primary practice address
11004 Rockledge View Dr Riverview FL 33579-2370
Phone: (813) 531-2383
Fax: (813) 922-0223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Florida
Other Service Providers / Peer Specialist 175T00000X Florida

Profile Details

NPI number 1235837774
LBN Legal business name Ivy, Scott Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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