Unknown Individual – Specialist, NPI 1013928373
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
102 POPLAR PL
LONGWOOD, FL 327502731
Phone: (407) 869-1592
Type: Mailing
1211, Palmetto Avenue, Winter Park, Orange County, Florida, 32789, United States
WINTER PARK, FL 327894913
Phone: (407) 647-4740
Fax: (407) 647-6415
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
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32750)
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