DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH MARTIN GRAYAM

Active Sole Proprietor

KEITH MARTIN GRAYAM is a Behavioral Health, Residential healthcare provider located in PACE, Florida. NPI 1669365482 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · PACE, FL

Registration Details

NPI Number
1669365482
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2025 (1.2548795215113 yrs)
Last Updated
May 30, 2025
Sole Proprietor
Yes

Practice Information

Address
6125 CHERRY HILL CIR
PACE, FL, 325719213
Browse FL providers · Browse ZIP 32571
Phone
9316265675
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.