Unknown Individual – Surgery Physician, NPI 1154380590
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
357, Jacaranda Drive, Plantation, Broward County, Florida, 33324, United States
PLANTATION, FL 333243309
Phone: (954) 494-0829
Type: Mailing
South University Drive, Plantation, Broward County, Florida, 33324, United States
PLANTATION, FL 33324
Phone: (954) 494-0829
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 33324)
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