Unknown Individual – Other Technician, NPI 1265402481
Other Technician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1177, Park Avenue, Orange Park, Clay County, Florida, 32073, United States
PMB 131 SUITE 5
ORANGE PARK, FL 320734155
Phone: (904) 446-5398
Type: Mailing
13520, Aerospace Way, Jacksonville, Duval County, Florida, 32221, United States
US COAST GUARD HITRON
JACKSONVILLE, FL 32221
Phone: (904) 594-6864
Fax: (904) 594-6914
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32073)
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