Unknown Individual – Internal Medicine Physician, NPI 1912906868
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
108, North Federal Highway, Boca Raton, Palm Beach County, Florida, 33432, United States
BOCA RATON, FL 334321951
Phone: (561) 221-6131
Type: Mailing
6308, Hazelwest Court, Hazelwood, Saint Louis County, Missouri, 63042, United States
HAZELWOOD, MO 630421756
Phone: (314) 488-7067
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 33432)
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