Unknown Individual – Psychiatry Physician, NPI 1376563056
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1220, Willis Avenue, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142810
Phone: (386) 469-1517
Fax: (386) 740-2664
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32114)
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