Unknown Individual – Internal Medicine Physician, NPI 1457420804
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
225, Office Plaza Drive, Tallahassee, Leon County, Florida, 32301, United States
TALLAHASSEE, FL 323012807
Phone: (850) 309-1665
Fax: (850) 309-0150
Type: Location
267 ROSEHILL DRIVE N
TALLAHASSEE, FL 32312
Phone: (850) 668-2163
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 32301)
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