Unknown Individual – Family Medicine Physician, NPI 1386623569
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 532858
ATLANTA, GA 303532858
Phone:
Type: Mailing
Southwest 160th Avenue, Miramar, Broward County, Florida, 33027-4145, United States
SUITE 250
MIRAMAR, FL 330276308
Phone: (954) 399-4642
Fax: (877) 859-8768
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30353)
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