Unknown Individual – Family Medicine Physician, NPI 1952390130
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
2741, Executive Park Drive, Weston, Broward County, Florida, 33331, United States
SUITE 4
WESTON, FL 333313641
Phone: (954) 659-2102
Type: Location
12350, Northwest 23rd Court, Plantation Acres, Plantation, Broward County, Florida, 33323, United States
PLANTATION, FL 333231921
Phone: (954) 614-3255
Type: Mailing
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
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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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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33331)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Emergency Medicine | MI | |
| - | OH | |
| - | FL | |
| Family Practice | SC | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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