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Scott Derenda

NPI 1154902310 · on the registry since 2021 · sole proprietor

Practice

Address
3 Pavilion Pl
Green Cove Springs, FL 32043
Phone
(994) 708-6677
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida