Unknown Individual – Emergency Medicine Physician, NPI 1679519045
Emergency 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
14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States
SUITE 190
SUNRISE, FL 333232865
Phone: (800) 424-3672
Fax: (954) 377-3042
Type: Mailing
Suncoast Boulevard, Cutlers, Crystal River, Citrus County, Florida, 34429, United States
CRYSTAL RIVER, FL 344286712
Phone: (352) 795-6560
Type: Location
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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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 33323)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Emergency Medicine | MI | |
| Emergency Medicine, Critical Care (Intensivists) | FL | |
| - | WV | |
| Emergency Medicine | PA | |
| - | FL | |
| Emergency Medicine | PR |
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