Unknown Individual – Nurse Practitioner, NPI 1295221802
Nurse Practitioner
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
921, Redwood Street, Daytona Beach, Volusia County, Florida, 32117, United States
DAYTONA BEACH, FL 321174571
Phone: (386) 882-0063
Type: Location
1700 RIDGEWOOD AVE
STE H
HOLLY HILL, FL 321171782
Phone: (386) 882-0063
Fax: (386) 281-3370
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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