Scott D Grimm, PAC

NPI #1790975142 in Hudson, Florida

Provider Information

NPI Number: 1790975142
Entity Type: Individual
Name: Scott D Grimm, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 31, 2007
Last Updated: Apr 30, 2008

Practice Location

Address: 7544 JACQUE RD
City: Hudson
State: Florida
ZIP Code: 34667-7162
Phone: (727) 697-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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