Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1124021274
Vascular & Interventional Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Pines Boulevard, Pembroke Pines, Broward County, Florida, 33024, United States of America
STE 200
PEMBROKE PINES, FL 330246456
Phone: (954) 437-4800
Fax: (954) 437-6628
Type: Mailing
Memorial Regional Hospital, 3501, Johnson Street, West Hollywood, Hollywood, Broward County, Florida, 33021, United States of America
HOLLYWOOD, FL 330215421
Phone: (954) 987-2000
Fax: (954) 437-6628
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 667 | 552 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 27 | 22 |
| DIAGNOSTIC RADIOLOGY | FL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 80 | 78 |
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