Unknown Individual – Diagnostic Radiology Physician, NPI 1811990849
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Pines Boulevard, Pembroke Pines, Broward County, Florida, 33024, United States
STE 200
PEMBROKE PINES, FL 330246456
Phone: (954) 437-4800
Fax: (954) 437-6628
Type: Mailing
Memorial Regional Hospital, 3501, Johnson Street, West Hollywood, Hollywood, Broward County, Florida, 33021, United States
HOLLYWOOD, FL 330215421
Phone: (954) 987-2000
Fax: (954) 437-6628
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
Source: CMS public data · Not endorsed by CMS ·
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33024)
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