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Organization
EDGE DIAGNOSTICS
Active
Organization
EDGE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALLAN BRADLEY (CEO)
(239) 292-6498
Entity
Organization
Contact information
Practice address
900 TAMIAMI TRL UNIT 111, PUNTA GORDA, FL 33950-5513
(941) 347-3650
(971) 347-3651
Mailing address
5221 POCATELLA CT, CAPE CORAL, FL 33904-5835
(239) 292-6498
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
01/27/2025
Last updated
09/17/2026
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