Unknown Individual – Internal Medicine Physician, NPI 1093799512
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North University Drive, Tamarac, Broward County, Florida, 33321, United States
TAMARAC, FL 333212979
Phone: (954) 724-0099
Fax: (954) 724-0070
Type: Location
411, North New River Drive East, Fort Lauderdale, Broward County, Florida, 33301, United States
APT 2504
FT LAUDERDALE, FL 333012310
Phone: (954) 832-9060
Type: Mailing
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 33321)
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