Unknown Individual – General Practice Physician, NPI 1972510436
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
US 1, Vero Beach, Indian River County, Florida, 34960, United States
VERO BEACH, FL 329627206
Phone: (772) 794-0030
Fax: (772) 794-0379
Type: Mailing
Bank of America, 4601, Sheridan Street, Playland Estates, Hollywood, Broward County, Florida, 33021, United States
SUITE 100
HOLLYWOOD, FL 330213440
Phone: (954) 964-7979
Fax: (954) 964-5818
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 32962)
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