Unknown Individual – Specialist, NPI 1366508905
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1071, West 47th Street, Palm Springs, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330123316
Phone: (305) 884-8880
Type: Mailing
Hook Square, Miami Springs, Miami-Dade County, Florida, 33010, United States
MIAMI SPRINGS, FL 331664401
Phone: (305) 884-8880
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 33012)
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