Unknown Individual – Psychiatry Physician, NPI 1225121312
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2089, Ridgewood Avenue, South Daytona, Volusia County, Florida, 32119, United States
SOUTH DAYTONA, FL 321192240
Phone: (386) 761-5628
Fax: (386) 760-4142
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32119)
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