Unknown Individual – Medical Physician Assistant, NPI 1194779173
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2900, Veterans Way, Viera, Brevard County, Florida, United States
VIERA, FL 329408007
Phone: (321) 637-3625
Fax: (321) 637-3619
Type: Location
1066, Citrus Avenue Northeast, Palm Bay, Brevard County, Florida, 32905, United States
PALM BAY, FL 329054847
Phone: (321) 951-7571
Type: Mailing
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 32940)
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