Unknown Individual – Pediatrics Physician, NPI 1851349039
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
936 WAVERLY BLUFF CT
ORANGE PARK, FL 320652200
Phone: (904) 406-4811
Type: Mailing
274, 3rd Avenue South, Jacksonville Beach, Duval County, Florida, 32250, United States
JACKSONVILLE BEACH, FL 322506727
Phone: (904) 249-3373
Fax: (904) 249-3371
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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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 32065)
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