Active NPI 1144394701 Individual Practitioner Male Practitioner

Dr. John Michael Sarbak , MD

Plastic Surgery • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Sarbak, MD is a certified Plastic Surgery practicing in Vero Beach, FL. With approximately 31 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1995, Dr. Sarbak delivers high-quality medical care to the local community at 3735 11TH CIR.

Dr. Sarbak accepts Medicare assignment.

Frequently performed procedures and clinical services include repair of wound by transferring skin, repair of wound by transferring skin, 30.1-60.0 sq cm, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3735 11th Cir
Suite 203

Vero Beach, FL 329604844

Telephone 7725630930

Fax 7725630213

Associated Practice Facility / Clinic

🏢 John M Sarbak Md Pa Facility NPI 1740478684

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Vero Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 29.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Vero Beach, FL (537 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sarbak (31 Years) 31 Yrs

Vero Beach Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	171	38	$747.57	$225.70
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	64	58	$3514.20	$1044.07
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	62	11	$747.57	$226.42
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$228.03	$91.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$284.68	$113.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$436.02	$224.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$346.18	$169.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	21	$137.40	$56.88
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	22	22	$3062.01	$790.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$280.03	$128.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$340.68	$182.47
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	15	$3292.59	$977.78
11104 Punch biopsy, first skin growth	12	12	$393.39	$114.53
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$129.00	$16.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1536.03	$366.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$2523.12	$675.37
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$3514.20	$492.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	163	38	$747.57	$231.29
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	66	59	$3514.20	$1075.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$284.68	$115.72
99213 Established patient office or other outpatient visit, typically 15 minutes	39	30	$228.03	$92.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	26	$137.40	$57.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	29	$280.03	$130.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$346.18	$171.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$436.02	$226.06
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	19	$3062.01	$904.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$340.68	$182.42
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$196.30	$74.03
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	17	16	$3292.59	$907.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	14	$1271.31	$340.49
11104 Punch biopsy, first skin growth	15	14	$393.39	$128.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$2523.12	$663.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1536.03	$425.96
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$876.45	$138.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	259	50	$747.57	$236.28
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	82	75	$3514.20	$1045.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$284.68	$118.01
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$228.03	$93.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$346.18	$175.54
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	37	33	$3062.01	$868.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$137.40	$58.95
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	28	26	$3292.59	$936.23
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	28	27	$1536.03	$392.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$340.68	$187.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$436.02	$231.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$280.03	$132.07
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$196.30	$76.27
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	18	$876.45	$148.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$798.84	$128.44
11104 Punch biopsy, first skin growth	20	18	$393.39	$122.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1373.85	$416.55
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$2523.12	$780.54
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$1271.31	$405.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	317	61	$747.57	$237.87
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	105	91	$3514.20	$1088.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$284.68	$118.31
99213 Established patient office or other outpatient visit, typically 15 minutes	61	45	$228.03	$95.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$346.18	$173.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$280.03	$135.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$436.02	$233.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	36	$340.68	$189.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	21	$137.40	$58.41
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	27	25	$3292.59	$974.70
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	23	23	$3062.01	$807.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1536.03	$446.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	16	$798.84	$143.11
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$876.45	$157.78
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$196.30	$76.71
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	15	$2523.12	$788.98
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	12	$765.33	$156.28
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1373.85	$401.43
11104 Punch biopsy, first skin growth	12	12	$393.39	$130.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	287	63	$724.13	$236.55
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	135	116	$3514.20	$994.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$284.68	$108.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$436.02	$207.75
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	58	51	$3062.01	$803.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$346.18	$167.20
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$228.03	$75.45
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	39	39	$3292.59	$978.45
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$196.30	$76.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$280.03	$109.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$340.68	$146.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$137.40	$45.82
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$2523.12	$623.01
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	22	$1373.85	$336.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$798.84	$136.27
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	16	$1536.03	$409.62
11104 Punch biopsy, first skin growth	15	15	$393.39	$114.37
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$876.45	$137.79
21016 Extensive removal of growth of face or scalp, 2.0 cm or more	11	11	$3369.00	$638.32
15730 Creation of flap graft to midface	11	11	$4971.99	$1537.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	316	92	$747.57	$244.66
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	160	139	$3514.20	$1094.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$284.68	$112.85
99213 Established patient office or other outpatient visit, typically 15 minutes	69	54	$228.03	$76.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$346.18	$171.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$280.03	$112.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	38	$137.40	$46.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$436.02	$215.14
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	49	47	$3062.01	$934.02
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$196.30	$79.13
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	45	45	$3292.59	$968.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	30	$340.68	$150.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$798.84	$146.05
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$1373.85	$367.44
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	21	$872.92	$163.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	16	$920.04	$217.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	17	$1536.03	$445.88
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$2523.12	$826.90
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$827.43	$146.06
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$765.33	$136.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	275	101	$745.99	$231.23
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	170	157	$3494.86	$1028.70
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	112	12	$746.04	$231.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$276.90	$106.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$339.03	$162.37
99213 Established patient office or other outpatient visit, typically 15 minutes	79	59	$220.55	$71.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	56	$268.92	$105.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	48	$135.31	$42.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$422.39	$204.26
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$192.42	$73.47
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	52	51	$3224.01	$960.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	46	$332.76	$141.83
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	34	31	$3045.71	$807.97
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	24	$2446.85	$752.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$822.66	$157.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	17	$765.21	$134.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	23	$1510.44	$444.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	21	$1372.94	$347.77
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$917.41	$161.26
21016 Extensive removal of growth of face or scalp, 2.0 cm or more	13	13	$3360.43	$566.01
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$3508.84	$522.97
15733 Creation of flap graft to head and/or neck	11	11	$3445.44	$1070.54
21935 Removal (less than 5 centimeters) tissue growth of back or flank	11	11	$2748.93	$541.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	250	80	$738.18	$245.12
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	153	146	$3302.43	$1080.20
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	120	15	$738.18	$245.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$217.28	$112.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$271.96	$170.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	44	$239.72	$149.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$283.38	$215.48
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$104.92	$75.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$74.68	$45.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$163.28	$111.06
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$133.67	$77.46
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	31	31	$2646.90	$939.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	25	$547.95	$130.68
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	27	$1370.92	$369.61
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	26	25	$2859.96	$1038.33
15732 Muscle flap wound repair at head and neck	18	18	$3698.37	$1364.50
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	16	$3302.43	$510.86
21935 Removal (less than 5 centimeters) tissue growth of back or flank	15	15	$2269.92	$573.91
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$1268.67	$333.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	12	$1250.55	$444.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$911.70	$184.58
21016 Extensive removal of growth of face or scalp, 2.0 cm or more	13	13	$3331.86	$990.00
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	11	11	$808.23	$423.63

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License FL ME72455

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield Fl

06187 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Keely Chandler , APRN-FNP

Nurse Practitioner - Family

NPI 1588374425

APRNFNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2011

Registered at 3735 11TH CIR, SUITE 203, VERO BEACH, FL 329604844 (Tel: 7725630930)

📍

Updated Business Mailing Address March 30, 2011

Registered at 245 ESTUARY DR, VERO BEACH, FL 329636202 (Tel: 7722343010)

👤

Provider Name / Credentials Updated March 30, 2011

Recorded as JOHN SARBAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2011

Plastic Surgery (License #ME72455 in FL)

🟢

Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144394701

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: March 30, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

245 Estuary Dr

Vero Beach, FL 329636202

Phone: 7722343010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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