Unknown Individual – Family Medicine Physician, NPI 1629170865
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
34, South Baldwin Avenue, Arcadia, DeSoto County, Florida, 34266, United States
ARCADIA, FL 342663387
Phone: (863) 993-4601
Type: Mailing
519, West Hickory Street, Arcadia, DeSoto County, Florida, 34266, United States
ARCADIA, FL 342663705
Phone: (863) 993-4601
Fax: (863) 491-7561
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 34266)
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