Unknown Individual – Licensed Practical Nurse, NPI 1578533808
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
16528 NE JIM GODWIN RD
ALTHA, FL 324214357
Phone:
Type: Mailing
Central Avenue, Federal Hill Historic District, Bristol, Hartford County, Connecticut, 06010, United States
BRISTOL, FL 32321
Phone: (850) 643-2415
Fax: (850) 643-5689
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 32421)
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