Unknown Individual – General Practice Physician, NPI 1073676961
General Practice Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
409, Dixie Highway, Lake Worth Beach, Palm Beach County, Florida, 33460, United States
LAKE WORTH, FL 334604442
Phone: (561) 588-6729
Fax: (561) 588-1824
Type: Mailing
Dixie Highway, Lake Worth Beach, Palm Beach County, Florida, 33460, United States
LAKE WORTH, FL 33460
Phone: (561) 588-6729
Fax: (561) 588-1824
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 33460)
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