SearchFlorida122300000X

Grady Scott

NPI 1841602612 · on the registry since 2014 · sole proprietor

Practice

Address
28811 S Tamiami Trl Ste 14
Bonita Springs, FL 34134
Phone
(239) 947-5858
Fax
(239) 947-4511
Organisation at this address
Kinexis Llc
Pathfinder Performance & Pt, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-22

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