| Doctor Name: | DR. RANDALL SCOTT |
| NPI Number: | 1619138658 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS 11177 |
| Business Practice Address: | 3151 Mcdonald St Coconut Grove, FL - 331334416 |
| Business Phone Number: | 3059758583 |
| Business Fax Number: | |
| Mailing Address: | 3151 Mcdonald St, COCONUT GROVE |
| State: | FL |
| Postal Code: | 331334416 |
| Phone Number: | 3059758583 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS 11177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |