Unknown Individual – General Practice Physician, NPI 1215028360
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1755, Heritage Trail, East Naples, Collier County, Florida, 34112, United States
STE B
NAPLES, FL 341127600
Phone: (239) 775-2220
Fax: (239) 775-9363
Type: Location
Marion E Fether Medical Center, 1454, Madison Avenue West, Immokalee, Collier County, Florida, 34142, United States
IMMOKALEE, FL 341422200
Phone: (239) 658-3011
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 34112)
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