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
5221 POCATELLA CT, CAPE CORAL, FL 33904-5835
(239) 292-6498
(239) 984-1343
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
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/27/2025
Last updated
05/22/2025
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