Unknown Individual – Family Medicine Physician, NPI 1013999374
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
500, Vonderburg Drive, Brandon, Hillsborough County, Florida, 33511, United States
STE 302E
BRANDON, FL 335115976
Phone: (352) 674-8905
Fax: (352) 674-8919
Type: Mailing
Druid Road East, Clearwater, Pinellas County, Florida, 33764, United States
CLEARWATER, FL 337563942
Phone: (727) 442-0500
Fax: (727) 442-0535
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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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 33511)
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Provider's Procedures
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