Unknown Individual – General Practice Physician, NPI 1083890370
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
194, East Oakland Park Boulevard, Oakland Park, Broward County, Florida, 33334, United States
OAKLAND PARK, FL 333342148
Phone: (313) 402-5995
Type: Mailing
Outreach Community Health Centers, 210, West Capitol Drive, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53212, United States
MILWAUKEE, WI 532121123
Phone: (313) 402-5995
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33334)
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