Unknown Individual – Family Medicine Physician, NPI 1306834817
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
409, Northeast 125th Street, North Miami, Miami-Dade County, Florida, 33161, United States
NORTH MIAMI, FL 331615834
Phone: (888) 852-6672
Fax: (305) 891-4228
Type: Mailing
206, Northeast 125th Street, North Miami, Miami-Dade County, Florida, 33161, United States
NORTH MIAMI, FL 331615832
Phone: (888) 852-6672
Fax: (305) 891-4228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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 33161)
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