NPI: 1164161840 · LONGWOOD, FL 32750 · Interventional Cardiology Physician · NPI assigned 06/01/2022
| Authorized Official | JORDAN, ANDY (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 06/01/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $6.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93000 | 15 | 12 | $6.14 |