Unknown Individual – Pediatrics Physician, NPI 1407851546
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4972 TOWN CENTER PKWY UNIT 301
JACKSONVILLE, FL 322468596
Phone: (904) 642-6100
Fax: (904) 642-5154
Type: Location
South Pine Island Road, Plantation, Broward County, Florida, 33324, United States
PLANTATION, FL 333243923
Phone: (904) 642-6100
Fax: (904) 642-5154
Type: Mailing
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 32246)
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