Unknown Individual – Specialist, NPI 1720048390
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Macarthur Avenue, Panama City, Bay County, Florida, 32401, United States
PANAMA CITY, FL 324013636
Phone: (850) 769-9008
Type: Location
Everitt Avenue, Springfield, Bay County, Florida, 32402, United States
PANAMA CITY, FL 324015692
Phone: (850) 784-0502
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
Source: CMS public data · Not endorsed by CMS ·
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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 32401)
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