Provider Demographics
NPI:1699095349
Name:DR. JAMES A. SCOTT D.C., INC.
Entity type:Organization
Organization Name:DR. JAMES A. SCOTT D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-430-1890
Mailing Address - Street 1:1400 N US HIGHWAY 441
Mailing Address - Street 2:530
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8975
Mailing Address - Country:US
Mailing Address - Phone:352-430-1890
Mailing Address - Fax:352-259-0807
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:530
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-430-1890
Practice Address - Fax:352-259-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9034OtherMEDICARE
FL64000OtherBLUE CROSS BLUE SHEILD
FL00001848320 05OtherUNITED HEALTH CARE
FL64000OtherBLUE CROSS BLUE SHEILD