GRADY ERNST

PORT ST LUCIE, FL
NPI1124724588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: FL  28767)
Enumeration Date2023-02-06
Last Update Date2023-02-06
Business Address
GRADY ERNST
2542 SE WELSH ST
PORT ST LUCIE, FL 34984-5240
Phone number: 484-571-4111
Mailing Address
GRADY ERNST
2542 SE WELSH ST
PORT ST LUCIE, FL 34984-5240
Phone number: 484-571-4111
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