Unknown Individual – Family Medicine Physician, NPI 1285615963
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3434, Hancock Bridge Parkway, Marina Town Condo Apartments, North Fort Myers, Lee County, Florida, 33903, United States
SUITE 301
NORTH FORT MYERS, FL 339037094
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 339523922
Phone: (941) 624-3600
Fax: (941) 627-6066
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 ·
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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 33903)
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