# EDGE DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366254211
- **Authorized official:** SCOTT ALLAN BRADLEY (CEO)
- **Authorized official phone:** (239) 292-6498

## Contact information

- **Practice address:** 900 TAMIAMI TRL UNIT 111, PUNTA GORDA, FL 33950-5513
- **Practice address phone:** (941) 347-3650
- **Practice address fax:** (971) 347-3651
- **Mailing address:** 5221 POCATELLA CT, CAPE CORAL, FL 33904-5835
- **Mailing address phone:** (239) 292-6498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 09/17/2026