Unknown Individual – Physician Assistant, NPI 1407952617
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
330, Southwest 27th Avenue, Little Havana, Miami, Miami-Dade County, Florida, 33135, United States
SUITE #305
MIAMI, FL 331352961
Phone: (305) 856-6000
Fax: (305) 859-8330
Type: Location
7105, Southwest 92nd Court, Miami, Miami-Dade County, Florida, 33173, United States
MIAMI, FL 33173
Phone: (305) 630-2511
Fax: (305) 859-8330
Type: Mailing
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 33135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Practice | PR | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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