Unknown Individual – Pulmonary Disease Physician, NPI 1710936943
Pulmonary Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 2462
SALT LAKE CITY, UT 841102462
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
1348 S 18TH ST STE 210
FERNANDINA BEACH, FL 320344785
Phone: (904) 261-9108
Fax: (904) 261-9911
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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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 84110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | FL | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 12 | 11 |
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