Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1124047428
Geriatric Medicine (Internal Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
5880 49TH STREET NORTH
SUITE 101 N
ST PETERSBURG, FL 337092148
Phone: (727) 527-8788
Fax: (727) 527-8828
Type: Location
49th Street North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States
SUITE 101-N
ST PETERSBURG, FL 337092150
Phone: (727) 527-8788
Fax: (727) 527-8828
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,575.
Total Amount is formed as General ($1,575) + Research ($0) + Ownership ($0) = $1,575.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Abbott Laboratories ($1,575).
Total Amount
$1,575
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,575 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33709)
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