Scott D Doll, APRN | |
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
(352) 323-5762 | |
Not Available |
Full Name | Scott D Doll |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 600 E Dixie Ave, Leesburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033685847 | NPI | - | NPPES |
APRN9312726 | Other | FL | PROFESSIONAL LICENSE |
KP618 | Other | FL | FL MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9312726 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neuro Synchrony Llc | 1153752373 | 2 |
Entity Name | Leesburg Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245226190 PECOS PAC ID: 1254228448 Enrollment ID: O20040302001078 |
Entity Name | Neuro Synchrony Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104458462 PECOS PAC ID: 1153752373 Enrollment ID: O20200504000108 |
Mailing Address | Practice Location Address |
---|---|
Scott D Doll, APRN 1382 S Ridge Lake Cir, Longwood, FL 32750-2876 Ph: (321) 239-2626 | Scott D Doll, APRN 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5762 |
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