Unknown Individual – Physician Assistant, NPI 1528023645
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328862851
Phone: (954) 847-4273
Fax: (954) 847-4245
Type: Mailing
Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
ATRIUM BLDG 1ST FLOOR
FORT LAUDERDALE, FL 33316
Phone: (954) 760-7171
Fax: (954) 764-1722
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)
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 32886)
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