Unknown Individual – Sports Medicine (Family Medicine) Physician, NPI 1972677649
Sports Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2025, Southwest 1st Street, Little Havana, Latin Quarter, Miami, Miami-Dade County, Florida, 33135, United States
MIAMI, FL 331351602
Phone: (305) 541-2535
Fax: (305) 541-2536
Mailing address matches the actual address.
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 33135)
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