Unknown Individual – Family Medicine Physician, NPI 1043237514
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4301, South Flamingo Road, Davie, Broward County, Florida, 33330, United States
SUITE 106/218
DAVIE, FL 333301902
Phone: (954) 444-4545
Type: Mailing
201, Southwest 84th Avenue, Plantation, Broward County, Florida, 33324, United States
PLANTATION, FL 333242729
Phone: (954) 584-7009
Fax: (954) 584-7209
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33330)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | FL | 81002 | Urinalysis, manual test | 41 | 31 |
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