NPI: 1396083630 · LAKEWOOD RANCH, FL 34202 · Pediatrics Physician · NPI assigned 01/22/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $210.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $210.00 |