Unknown Individual – General Practice Physician, NPI 1679573604
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
383, West 34th Street, Hialeah Estates, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330124309
Phone: (305) 823-3312
Fax: (305) 823-7932
Type: Mailing
1583 N Military Trl Ste A
West Palm Beach, FL 334094709
Phone: (561) 489-7791
Fax: (561) 473-3742
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 33012)
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