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NPI Code Detail

MEDICARE: GAGE NATHANIEL GRINDLE

MEDICARE: GAGE NATHANIEL GRINDLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-510194FL

General Provider Information

NPI Number : 1598614471
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAGE NATHANIEL GRINDLE
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 495 GRAND BLVD STE 206
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-1897
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ GAGE NATHANIEL GRINDLE ” Practice Location

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