Unknown Individual – Physician Assistant, NPI 1992744635
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States
SUITE 190
SUNRISE, FL 333232865
Phone: (800) 424-3672
Fax: (954) 377-3042
Type: Mailing
University Hospitals Elyria Medical Center, 630, East River Street, Eastern Heights, Elyria, Lorain County, Ohio, 44035, United States
ELYRIA, OH 440355902
Phone: (800) 424-3672
Fax: (954) 377-3042
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 ·
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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 33323)
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