Unknown Individual – Physician Assistant, NPI 1669569067
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5005 CLOVER MIST DR
APOLLO BEACH, FL 335723415
Phone: (813) 810-3176
Type: Mailing
South Bay Hospital, 4016, Sun City Center Boulevard, Sun City Center, Hillsborough County, Florida, 33573, United States
SUN CITY CENTER, FL 335735256
Phone: (813) 634-0136
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 33572)
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