Unknown Individual – Internal Medicine Physician, NPI 1871509398
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Old Coastal Highway, Niceville, Okaloosa County, Florida, 32580, United States
SUITE 410
NICEVILLE, FL 325789735
Phone: (850) 897-2000
Fax: (850) 897-4359
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32578)
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