Unknown Individual – Specialist, NPI 1467443085
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2301, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States
SUITE 201
PEMBROKE PINES, FL 330243617
Phone: (954) 961-5322
Fax: (954) 986-0450
Type: Mailing
4839, Southwest 148th Avenue, Davie, Broward County, Florida, 33330, United States
SUITE 510
SOUTHWEST RANCHES, FL 333302129
Phone: (704) 658-0552
Fax: (704) 658-0553
Type: Location
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
Source: CMS public data · Not endorsed by CMS ·
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 33024)
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