Unknown Individual – Specialist, NPI 1740385160
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
21097, Northeast 27th Court, Aventura, Miami-Dade County, Florida, 33180, United States
SUITE # 210
AVENTURA, FL 33180
Phone: (305) 936-2565
Fax: (305) 936-1946
Mailing address matches the actual address.
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)
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 33180)
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