Unknown Individual – Adult Medicine Physician, NPI 1093802092
Adult 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
Palm Beach Boulevard, Fort Myers Shores, Lee County, Florida, United States
SUITE 401
FORT MYERS, FL 339052312
Phone: (239) 694-5632
Fax: (239) 693-6202
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)
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 33905)
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