NPI: 1548754963 · FORT WALTON BEACH, FL 32547 · Internal Medicine Physician · NPI assigned 06/19/2018
| Authorized Official | ROS, GUSTAVO (OWNER) |
| NPI Enumeration Date | 06/19/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 139 | $605.78 |
| 2020 | 153 | $1K |
| 2021 | 136 | $261.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99233 | Prolong inpt eval add15 m | 428 | 68 | $2K |