Unknown Individual – Internal Medicine Physician, NPI 1093770489
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4280NE1ST TER
OAKLAND PARK, FL 333341404
Phone: (907) 225-9830
Fax: (954) 616-8628
Type: Mailing
Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States
KETCHIKAN, AK 999015635
Phone: (907) 225-9830
Fax: (907) 225-9840
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 33334)
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