Unknown Individual – Family Nurse Practitioner, NPI 1407993637
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2100, East Hallandale Beach Boulevard, Golden Isles, Hallandale Beach, Broward County, Florida, 33009, United States
SUITE 307
HALLANDALE BEACH, FL 330093765
Phone: (954) 454-9055
Fax: (954) 454-9890
Type: Location
811, Northeast 80th Street, Little River, Miami, Miami-Dade County, Florida, 33138, United States
MIAMI, FL 331384650
Phone: (305) 778-2056
Fax: (786) 464-9897
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 33009)
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