Unknown Individual – General Practice Physician, NPI 1003941709
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
401 NE FIRST STREET
POMPANO BEACH, FL 33060
Phone: (954) 943-4111
Fax: (954) 781-5596
Type: Mailing
2323 NW 19TH ST
SUITE 2
FORT LAUDERDALE, FL 333113400
Phone: (954) 484-8333
Fax: (954) 484-6780
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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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33060)
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