Unknown Individual – Family Nurse Practitioner, NPI 1114945664
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20125 KEENE ROAD
WIMAUMA, FL 335982327
Phone: (813) 634-6204
Type: Mailing
2814, 14th Avenue Southeast, Ruskin, Hillsborough County, Florida, 33570, United States
RUSKIN, FL 33570
Phone: (813) 349-7800
Fax: (813) 349-7842
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 33598)
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