Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1518948017
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
54th Avenue North, Bay Breeze Cove, Saint Petersburg, Pinellas County, Florida, 33703, United States
ST PETERSBURG, FL 337091001
Phone: (727) 541-4458
Fax: (727) 546-6663
Mailing address matches the actual address.
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 33709)
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