Unknown Individual – Internal Medicine Physician, NPI 1023012978
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 339526704
Phone: (855) 979-5700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | 22 | $0 |
Insurance plans in this area (ZIP 33901)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL |
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