Unknown Individual – Surgery Physician, NPI 1912052796
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 299
ST AUGUSTINE, FL 320850299
Phone: (904) 829-8677
Fax: (904) 829-8656
Type: Mailing
301, Health Park Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States
SUITE 323
ST AUGUSTINE, FL 320865793
Phone: (904) 829-8677
Fax: (908) 829-8656
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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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32085)
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