NPI: 1780785121 · MELBOURNE, FL 32940 · Pediatric Adolescent Medicine Physician · NPI assigned 09/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 23 | $0.00 |
| 2020 | 20 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 43 | 24 | $0.00 |