Unknown Individual – Emergency Medicine Physician, NPI 1174618110
Emergency Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 863639
ORLANDO, FL 328863639
Phone: (904) 827-0507
Fax: (904) 346-0113
Type: Mailing
Flagler Hospital, 400, Health Park Boulevard, St. Augustine, St. Johns County, Florida, 32086, United States
ST AUGUSTINE, FL 320865784
Phone: (904) 826-4700
Fax: (904) 346-0113
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 32886)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| - | GA | |
| Emergency Medicine | GA | |
| - | FL | |
| Family Practice, Emergency Medicine | GA |
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