NPI: 1053796995 · KISSIMMEE, FL 34741 · Hematology & Oncology Physician · NPI assigned 07/21/2015
| Authorized Official | CRISOSTOMO, RICARDO (SOLE MEMBER) |
| NPI Enumeration Date | 07/21/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 139 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 139 | 122 | $3K |