Individual provider · Type 1 NPI
Scott D. Grimm, PAC
Medical Physician Assistant · Hudson, FL
NPI number
1790975142
Active
Practice location
7544 Jacque Rd
Hudson, FL 34667-7162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-28473 (MT) |
| Medical Physician Assistant Primary | 363AM0700X | MED-PAC-LIC-28473 (MT) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Hudson
About NPI 1790975142
Scott D. Grimm, PAC's National Provider Identifier is 1790975142, issued on Jul 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hudson, FL. The record was last updated on Aug 11, 2026.