Unknown Individual – Vascular Surgery Physician, NPI 1033194535

Unknown Individual is a healthcare provider. based in Miramar, Florida. specializing in Vascular Surgery Physician. They hold a License No. ME71836 (FL). The NPI Number for Unknown Individual is 1033194535

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033194535
Phone
(954) 276-5685
Address
2900 CORPORATE WAY
Deactivation Date
14 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9542651125
Graduation Year
1995 (31 years ago)
PAC ID
1658394986
Group Practice PAC ID
8123927373
Professional Enrollment ID
I20060112000352

Contacts

Secure Messaging
jhertz13500@MHSDIRECT.NET
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States

    DOOR D

    MIRAMAR, FL 330253925

    Phone: (954) 276-5685

    Fax: (954) 985-7074

    Type: Mailing

  • 460, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 33021

    Phone: (954) 265-4664

    Fax: (954) 265-8373

    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 33025)

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Provider's Procedures

Unknown Individual performs procedures in Vascular Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1313

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: 8123927373View full group profile
NameSpecialtyState
-FL
-FL
-FL
Cardiac Surgery, Thoracic SurgeryFL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology)FL
-FL
Family PracticeCO
Pediatric Medicine, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1033194535 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Miramar, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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