Unknown Individual – Cardiovascular Disease Physician, NPI 1932141629
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3033, Southeast 29th Lane, Taylor Creek, Okeechobee County, Florida, 34974, United States
OKEECHOBEE, FL 349746848
Phone: (863) 763-5060
Fax: (863) 763-4545
Type: Mailing
Lake City VA Medical Center, 619, South Marion Avenue, Lake City, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320255808
Phone: (386) 755-3016
Fax: (386) 754-7364
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
Source: CMS public data · Not endorsed by CMS ·
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34974)
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