Unknown Individual – Family Medicine Physician, NPI 1477631620
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5605, Northwest 82nd Avenue, Doral, Miami-Dade County, Florida, 33166, United States
DORAL, FL 331664000
Phone: (305) 685-5688
Fax: (786) 618-5307
Type: Mailing
10130, Southwest 40th Street, Olympia Heights, Miami, Miami-Dade County, Florida, 33165, United States
MIAMI, FL 331653948
Phone: (305) 685-5688
Fax: (786) 534-4134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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 33166)
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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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