Unknown Individual – Dermatology Physician, NPI 1821013202
Dermatology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4316, Highland Park Boulevard, Fountain Heights, Lakeland, Polk County, Florida, 33813, United States
LAKELAND, FL 338131647
Phone: (863) 644-6415
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 33813)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 11101 | Biopsy of each additional growth of skin and/or tissue | 24 | 15 |
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