Unknown Individual – Family Medicine Physician, NPI 1255741302
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1965 S OCEAN DR APT 15F
HALLANDALE BEACH, FL 330095924
Phone: (212) 671-2200
Type: Mailing
1400 NE MIAMI GARDENS DR STE 105
MIAMI, FL 331794843
Phone: (305) 974-5933
Type: Location
1400 NE Miami Gardens Dr Ste 105
Miami, FL 331794843
Phone: (305) 974-5933
Type: Location
9635 SW 181st Ter
Palmetto Bay, FL 331575630
Phone: (305) 238-8561
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 33009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC |
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