Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1174527972
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1397, Medical Park Boulevard, Polo Lakes Apartments, Wellington, Palm Beach County, Florida, 33414, United States
STE 480
WELLINGTON, FL 334143188
Phone: (561) 791-1141
Type: Mailing
Point Meadows Drive, Point Meadows Plaza, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 32256
Phone: (904) 303-8910
Fax: (904) 389-1082
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
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 30 | $0 |
Insurance plans in this area (ZIP 33414)
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