Unknown Individual – Specialist, NPI 1932131596
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
205, West Pine Avenue, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 325363423
Phone: (850) 682-5332
Fax: (850) 682-8486
Type: Mailing
492, Wilson Street North, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 325363442
Phone: (850) 682-5332
Fax: (850) 682-8486
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 32536)
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