Individual
BAYLEE FAY GRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9121539
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130647000
—
FL
Enumeration date
05/12/2025
Last updated
04/09/2026
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