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ANDREW MICHAEL BASILE — OIG Excluded Provider (POMPANO BEACH, FL, 1128b4)

ANDREW MICHAEL BASILE — OIG Excluded Provider (POMPANO BEACH, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ANDREW MICHAEL BASILE; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameANDREW MICHAEL BASILE
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyEMERGENCY MEDICINE
NPI1346297348
CityPOMPANO BEACH
StateFL
ZIP33062
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2020-05-20
SourceHHS-OIG LEIE

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