Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1013915024

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. ME34121 (FL). The NPI Number for Unknown Individual is 1013915024

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013915024
Phone
(239) 931-3440
Address
PO BOX 62707
Deactivation Date
1 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393493539
Graduation Year
1977 (49 years ago)
PAC ID
9739264292
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20100311000335
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 62707

    FORT MYERS, FL 339062707

    Phone: (239) 931-3440

    Type: Mailing

  • Metro Parkway, Fort Myers, Lee County, Florida, 33906, United States

    FORT MYERS, FL 339124343

    Phone: (239) 936-1343

    Fax: (239) 936-8507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
Internal MedicineFL
-FL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1013915024 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Fort Myers, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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