Unknown Individual – Psychiatry Physician, NPI 1063778835
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3948 Sunbeam Rd
Suite # 2
Jacksonville, FL 322578852
Phone: (904) 719-9220
Fax: (904) 719-9221
Type: Location
3948 SUNBEAM RD
SUITE # 2
JACKSONVILLE, FL 322578852
Phone: (904) 719-9220
Fax: (904) 719-9221
Type: Mailing
2950 HALCYON LN STE 705
JACKSONVILLE, FL 322236692
Phone: (904) 719-9220
Fax: (904) 719-9221
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-01-03 • Largest payer in this snapshot: ABBVIE INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $14 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32257)
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