Williams, Scot T
Williams, Scot T is an sole proprietor health care provider with primary practice located at 1034 Mar Walt Dr Suite 100, Fort Walton Beach FL 32547-6645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williams, Scot T can be contacted via phone (850) 315-9213.Contact Information
Primary practice address
1034 Mar Walt Dr Suite 100
Fort Walton Beach FL 32547-6645
Phone: (850) 315-9213
Fax: (850) 315-9350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9103018 | Florida |
Profile Details
| NPI number | 1942205190 |
|---|---|
| LBN Legal business name | Williams, Scot T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 23rd, 2017 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942205190 | NPPES |
| Florida | Other | 1467583010 | MEDICARE NPI GROUP |
| Florida | MEDICAID | 002879600 | MEDICARE NPI GROUP |
| Florida | MEDICAID | 1467589010 | MEDICARE NPI GROUP |
| Florida | Other | DC690A | MEDICARE NPI GROUP |
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