| Scott Kern | |
|
258 Wilshire Blvd Casselberry FL 32707-5355 | |
| (407) 810-7261 | |
| Not Available |
| Full Name | Scott Kern |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 258 Wilshire Blvd, Casselberry, Florida |
| Authorized Official Name and Position | Scott Kern (REGISTERED MHC INTERN) |
| Authorized Official Contact | 4078107261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Kern Po Box 620451 Oviedo FL 32762-0451 Ph: (407) 810-7261 | Scott Kern 258 Wilshire Blvd Casselberry FL 32707-5355 Ph: (407) 810-7261 |
| NPI Number | 1588055032 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588055032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMH 12832 (Florida) | Primary |
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