Unknown Individual – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1962565721
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361005
Phone: (305) 585-6262
Fax: (305) 585-2457
Type: Location
630, Solano Prado, Gables Estates, Coral Gables, Miami-Dade County, Florida, 33156, United States
CORAL GABLES, FL 331562360
Phone: (305) 661-9531
Fax: (786) 268-7409
Type: Mailing
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 33136)
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