NPI: 1427432053 · BRADENTON, FL 34209 · Specialist · NPI assigned 07/14/2015
| Authorized Official | NUESA, WILSON (PRESIDENT) |
| NPI Enumeration Date | 07/14/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 01992 | 174 | 158 | $15K |