Unknown Individual – Surgery Physician, NPI 1104811314
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 10744
CLEARWATER, FL 337578744
Phone: (727) 532-0002
Fax: (727) 266-4943
Type: Mailing
4301, North Habana Avenue, Armenia Estates, Tampa, Hillsborough County, Florida, 33607, United States
TAMPA, FL 336076546
Phone: (813) 870-4064
Fax: (813) 443-8146
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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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 33757)
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