Entity Name: | DR. JAMES A. SCOTT D.C., INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 26 May 2010 (15 years ago) |
Document Number: | P10000045486 |
FEI/EIN Number | 272715542 |
Address: | 1400 NORTH U.S. HIGHWAY 441, 530, LADY LAKE, FL, 32159, US |
Mail Address: | P.O. BOX 1149, LADY LAKE, FL, 32158, US |
ZIP code: | 32159 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699095349 | 2010-06-04 | 2013-04-24 | 1400 N US HIGHWAY 441, 530, LADY LAKE, FL, 321598975, US | 1400 N US HIGHWAY 441, 530, LADY LAKE, FL, 321598975, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 352-430-1890 |
Fax | 3522590807 |
Authorized person
Name | DR. JAMES A. SCOTT |
Role | PRESIDENT |
Phone | 3524301890 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH8867 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE |
Number | K9034 |
State | FL |
Issuer | BLUE CROSS BLUE SHEILD |
Number | 64000 |
State | FL |
Issuer | UNITED HEALTH CARE |
Number | 00001848320 05 |
State | FL |
Name | Role | Address |
---|---|---|
SCOTT KATHLEEN L | Agent | 1400 NORTH U.S. HIGHWAY 441, LADY LAKE, FL, 32159 |
Name | Role | Address |
---|---|---|
SCOTT JAMES ADr. | President | 1400 NORTH U.S. HIGHWAY 441, LADY LAKE, FL, 32159 |
Name | Role | Address |
---|---|---|
SCOTT KATHLEEN L | Secretary | 1400 NORTH U.S. HIGHWAY 441, LADY LAKE, FL, 32159 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-12 |
ANNUAL REPORT | 2023-01-29 |
ANNUAL REPORT | 2022-01-30 |
ANNUAL REPORT | 2021-01-17 |
ANNUAL REPORT | 2020-02-02 |
ANNUAL REPORT | 2019-04-07 |
ANNUAL REPORT | 2018-01-20 |
ANNUAL REPORT | 2017-01-25 |
ANNUAL REPORT | 2016-02-17 |
ANNUAL REPORT | 2015-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State