Unknown Individual – Family Medicine Physician, NPI 1336120641
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
13740 CYPRESS TERRACE CIR
FORT MYERS, FL 339078827
Phone: (239) 275-5522
Fax: (239) 275-4464
Type: Mailing
1255, Viscaya Parkway, Cape Coral, Lee County, Florida, 33990, United States
SUITE 200
CAPE CORAL, FL 339903290
Phone: (239) 574-1988
Fax: (239) 574-1435
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
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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 33907)
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