Unknown Individual – Clinic/Center, NPI 1124691464
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4875 PALM COAST PKWY NW UNIT 2
PALM COAST, FL 321373671
Phone: (386) 446-9935
Fax: (386) 466-7777
Type: Mailing
569 HEALTH BLVD
SUITE A
DAYTONA BEACH, FL 32114
Phone: (386) 446-9935
Fax: (386) 446-7777
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 32137)
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