Unknown Individual – Family Medicine Physician, NPI 1740276435
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4855, West Hillsboro Boulevard, West Dixie Bend, Coconut Creek, Broward County, Florida, 33073, United States
SUITE B2
COCONUT CREEK, FL 33073
Phone: (954) 418-1683
Fax: (954) 418-1698
Type: Mailing
Banchero Hallandale, 2500, East Hallandale Beach Boulevard, Golden Isles, Hallandale Beach, Broward County, Florida, 33009, United States
SUITE 301
HALLANDALE BEACH, FL 33009
Phone: (954) 458-2572
Fax: (954) 354-8151
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 87 | 53 | $0 |
Insurance plans in this area (ZIP 33073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
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