Unknown Individual – Family Medicine Physician, NPI 1609962737
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
73 SANDCHASE CIR
INLET BEACH, FL 324619507
Phone: (850) 482-1442
Type: Mailing
Covenant Care, 5041, North 12th Avenue, Cordova Office Plaza, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325048916
Phone: (850) 433-2155
Fax: (850) 202-0600
Type: Mailing
101, Hart Street, Niceville, Okaloosa County, Florida, 32578, United States
NICEVILLE, FL 325781040
Phone: (850) 729-1800
Fax: (850) 202-0600
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 32461)
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