Unknown Individual – Specialist, NPI 1093764342
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
32, West Gore Street, South Orange, Orlando, Orange County, Florida, 32806, United States
5TH FLOOR
ORLANDO, FL 32806
Phone: (407) 423-7172
Fax: (407) 423-9505
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)
CMS reports 4 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($109).
Total Amount
$109
General + Research + Ownership
Payments
4
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $109 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 32806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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