Unknown Individual – Family Nurse Practitioner, NPI 1275052078
Family Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1755 N Florida Ave
Lakeland, FL 338053109
Phone: (863) 680-7000
Fax: (866) 264-8519
Type: Location
1052 Downing Cir
Wauchula, FL 338733358
Phone: (855) 353-7546
Fax: (863) 774-3526
Type: Location
1450 6th St SE
Winter Haven, FL 33880
Phone: (855) 353-7546
Fax: (863) 294-2767
Type: Location
1450, 6th Street Southeast, Winter Haven, Polk County, Florida, 33880, United States
WINTER HAVEN, FL 338804505
Phone: (855) 353-7546
Fax: (863) 294-2767
Type: Mailing
3200, Medical Way, Sebring, Highlands County, Florida, 33870, United States
SEBRING, FL 338702805
Phone: (855) 353-7546
Fax: (863) 333-6520
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
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.
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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 33805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | NC | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL |
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