Unknown Individual – Family Medicine Physician, NPI 1083672125
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
North Dale Mabry Highway, Lutz, Hillsborough County, Florida, 33618, United States
STE 102
LUTZ, FL 335484915
Phone: (813) 977-0733
Fax: (813) 971-2230
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33548)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Internal Medicine | GA | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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