Unknown Individual – Emergency Medicine Physician, NPI 1679709125
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7004, Northwest 52nd Terrace, Gainesville, Alachua County, Florida, 32653, United States
GAINESVILLE, FL 326537008
Phone: (205) 907-2586
Type: Mailing
South Georgia Medical Center Berrien Campus, 1221, East McPherson Avenue, Nashville, Berrien County, Georgia, 31639, United States
NASHVILLE, GA 316392326
Phone: (229) 543-7100
Type: Location
PO BOX 5218
NICEVILLE, FL 325785218
Phone: (850) 897-7244
Type: Mailing
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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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 32653)
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