Unknown Individual – Physician Assistant, NPI 1730120122
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
320, 3rd Street, Neptune Beach, Duval County, Florida, 32266, United States
NEPTUNE BEACH, FL 322665109
Phone: (904) 270-0767
Fax: (904) 270-2106
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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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 ·
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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 | 334 | 284 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 222 | 222 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 139 | 128 | $0 |
| 81003 | Automated urinalysis test | 94 | 88 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 70 | 64 | $0 |
Insurance plans in this area (ZIP 32266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | WA | |
| - | FL | |
| Family Practice | FL | |
| - | PA | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL |
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