Unknown Individual – Gastroenterology Physician, NPI 1861483810
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, East Sheridan Road, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 329013142
Phone: (321) 725-3200
Fax: (321) 725-4175
Type: Mailing
1324, Valentine Street, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 329013128
Phone: (321) 725-3200
Fax: (321) 725-4175
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 32901)
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