Provider Demographics
NPI:1760356463
Name:MONTGOMERY-SCOTT, DANIEKA (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANIEKA
Middle Name:
Last Name:MONTGOMERY-SCOTT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 BARCLAY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-2016
Mailing Address - Country:US
Mailing Address - Phone:813-924-4460
Mailing Address - Fax:
Practice Address - Street 1:702 BARCLAY WOOD DR
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-2016
Practice Address - Country:US
Practice Address - Phone:813-924-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11042731363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner