Scott D Grimm is a Physician Assistant in Hudson, Florida. Scott D Grimm practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Scott D Grimm is 1790975142. The last update date is 2008-04-30.
Scott D Grimm's current location address is 7544 Jacque Rd, Hudson, Florida. You can contact this provider via phone number 7276972200. The mailing address for Scott D Grimm is 7544 Jacque Rd, Hudson, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott D Grimm |
|---|---|
| Address | 7544 Jacque Rd, Hudson, Florida |
| Phone Number | 7276972200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1790975142 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 7544 Jacque Rd |
|---|---|
| City | Hudson |
| State | Florida (FL) |
| Post Code | 346677162 |
| Phone Number | 7276972200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104443 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA9104443 | FL | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Scott D Grimm by the Centers for Medicare & Medicaid Services (CMS)?
The Scott D Grimm has been assigned the NPI (National Provider Identifier) 1790975142. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Scott D Grimm's facilities are geographically located?
The facilities of Scott D Grimm are physically situated at the following location: 7544 Jacque Rd, Hudson, FL, 346677162.
What is the area of specialization for Scott D Grimm, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Scott D Grimm is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790975142 to Scott D Grimm?
The Centers for Medicare & Medicaid Services originally issued the 1790975142 to Scott D Grimm on 2007-07-31.
As of what date were the details related to Scott D Grimm most recently updated or revised?
The information pertaining to Scott D Grimm, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-30.