Unknown Individual – Gastroenterology Physician, NPI 1508866526
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322566004
Phone: (904) 398-3262
Fax: (904) 265-4807
Type: Mailing
3635, South Clyde Morris Boulevard, The Groves Apartments, Port Orange, Volusia County, Florida, 32129, United States
SUITE 100
PORT ORANGE, FL 321292300
Phone: (386) 788-1242
Fax: (386) 788-4255
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
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 46600 | Diagnostic examination of the anus using an endoscope | 16 | 16 |
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