Unknown Individual – Psychiatry Physician, NPI 1407055171
Psychiatry Physician
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Provider Addresses for Unknown Individual
10647 PARK PLACE DR
SUITE 3N
LARGO, FL 337783409
Phone: (727) 415-4462
Fax: (727) 362-9210
Type: Mailing
5730 Lake Underhill Rd
Orlando, FL 328074366
Phone: (407) 322-8645
Fax: (407) 269-8986
Type: Location
11215 Metro Pkwy Ste 1
Fort Myers, FL 339661206
Phone: (239) 208-2212
Type: Location
9355, 113th Street North, Seminole, Pinellas County, Florida, 33772, United States
UNIT 3500
SEMINOLE, FL 337756820
Phone: (727) 415-4462
Fax: (727) 362-9210
Type: Location
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Medicare Enrollment & Revalidation
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 17 | $0 |
| 90837 | Psychotherapy, 1 hour | 40 | 15 | $0 |
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