Grayner, Scott Matthew
Grayner, Scott Matthew is an individual health care provider with primary practice located at 13120 Biscayne Blvd , North Miami FL 33181-2013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grayner, Scott Matthew can be contacted via phone (305) 585-9210.Contact Information
Primary practice address
13120 Biscayne Blvd
North Miami FL 33181-2013
Phone: (305) 585-9210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME111202 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD435019 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME111202 | Florida |
Profile Details
| NPI number | 1326119462 |
|---|---|
| LBN Legal business name | Grayner, Scott Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jun 5th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326119462 | NPPES |
| Florida | MEDICAID | 101167200 | |
| Florida | Other | KK175 |
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