Unknown Individual – Family Medicine Physician, NPI 1811988785
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1855, Knox McRae Drive, Indian River City, Titusville, Brevard County, Florida, 32780, United States
TITUSVILLE, FL 32780
Phone: (321) 269-2028
Fax: (321) 264-0730
Type: Location
1855, Knox McRae Drive, Titusville, Brevard County, Florida, 32780, United States
TITUSVILLE, FL 32780
Phone: (321) 269-2028
Fax: (321) 264-0730
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32780)
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