Unknown Individual – Family Medicine Physician, NPI 1609872019
Family Medicine Physician
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Profile Insights
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Provider Addresses for Unknown Individual
1265, 36th Street, Gifford, Indian River County, Florida, 32960, United States
VERO BEACH, FL 329606574
Phone: (772) 567-6340
Fax: (772) 567-3564
Mailing address matches the actual address.
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
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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 32960)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 57 | 33 |
| FAMILY MEDICINE | FL | 90670 | Pneumococcal vaccine for injection into muscle | 40 | 40 |
| FAMILY MEDICINE | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 18 | 15 |
| FAMILY MEDICINE | FL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 28 | 14 |
Group practice members
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