Provider Demographics
NPI:1144937889
Name:SCOTT, RONALD PAGE I (CSFA)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:PAGE
Last Name:SCOTT
Suffix:I
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4978 SW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8449
Mailing Address - Country:US
Mailing Address - Phone:352-433-5687
Mailing Address - Fax:
Practice Address - Street 1:4978 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8449
Practice Address - Country:US
Practice Address - Phone:352-433-5687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO112165246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist