NPI: 1164769444 · HOMESTEAD, FL 33033 · Pediatric Critical Care Medicine Physician · NPI assigned 01/07/2013
| Authorized Official | DAGHISTANI, DOURED (MANAGER) |
| NPI Enumeration Date | 01/07/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 15 | 13 | $3K |