Unknown Individual – Pain Medicine Physician, NPI 1710176714
Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3822, Broadway, Fort Myers, Lee County, Florida, 33901, United States
FT. MYERS, FL 339018148
Phone: (239) 274-3004
Type: Mailing
State Road 7, Plantation, Broward County, Florida, 33311:33313, United States
PLANTATION, FL 333173100
Phone: (954) 316-2442
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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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 33901)
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