Unknown Individual – Emergency Medicine Physician, NPI 1194799569
Emergency 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
US Highway 441, Leesburg, Lake County, Florida, 34788, United States
LEESBURG, FL 347884016
Phone: (352) 315-1651
Fax: (352) 315-1703
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 34788)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 85610 | Blood test, clotting time | 148 | 112 |
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