Unknown Individual – Obstetrics & Gynecology Physician, NPI 1336814532
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
8645 N MILITARY TRL STE 508
WEST PALM BEACH, FL 334106296
Phone: (561) 630-8001
Fax: (561) 630-8007
Type: Mailing
1405 SE GOLDTREE DR STE D
PORT SAINT LUCIE, FL 349527563
Phone: (772) 800-7000
Fax: (772) 878-1276
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 33410)
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