Doctor Name: | MAUDEEN CASSANDRA SCOTT |
NPI Number: | 1396149464 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | L.3975R |
Business Practice Address: | 5225 Clayton Ct Fort Myers, FL - 339072117 |
Business Phone Number: | 2393438242 |
Business Fax Number: | 2393438241 |
Mailing Address: | Po Box 2147, FORT MYERS |
State: | FL |
Postal Code: | 339022147 |
Phone Number: | 2394241449 |
Fax Number: | 2394241421 |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | L.3975R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |