Unknown Individual – Physician Assistant, NPI 1265779474
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
700 Village Square Xing Ste 101
Palm Beach Gardens, FL 334104532
Phone: (561) 635-4441
Type: Location
6555 Chester Ave Ste 1
Jacksonville, FL 322172279
Phone: (904) 265-8209
Fax: (045) 033-5779
Type: Location
367 S. GULPH RD
ATT IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (561) 333-4000
Type: Mailing
3319 S STATE ROAD 7 STE 102
WELLINGTON, FL 334498099
Phone: (561) 333-4000
Fax: (561) 333-8851
Type: Location
4209 WELLINGTON SHORES DR
WELLINGTON, FL 334498351
Phone: (561) 635-4441
Fax: (904) 503-3577
Type: Mailing
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 334709203
Phone: (561) 635-4441
Fax: (904) 503-3577
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33410)
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