COLLINS BLAKE SCOTT

ORLANDO, FL
NPI1194270504
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA14574)
Enumeration Date2016-08-16
Last Update Date2024-08-31
Business Address
Mr. COLLINS BLAKE SCOTT
1733 LAKEMONT AVE # 106
ORLANDO, FL 32814-6350
Phone number: 502-316-1018
Mailing Address
Mr. COLLINS BLAKE SCOTT
1733 LAKEMONT AVE # 106
ORLANDO, FL 32814-6350
Phone number: 502-316-1018
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