Unknown Individual – Specialist, NPI 1407959471
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Lillian Highway, West Pensacola, Escambia County, Florida, 32506, United States
PENSACOLA, FL 325120001
Phone: (850) 505-6142
Type: Location
945 AQUAMARINE DR
GULF BREEZE, FL 325633001
Phone: (850) 932-7014
Fax: (850) 916-3014
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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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32512)
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