Unknown Individual – Anesthesiology Physician, NPI 1194793158

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Anesthesiology Physician. They hold a License No. ME67580 (FL). The NPI Number for Unknown Individual is 1194793158

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194793158
Phone
Not provided
Address
PO BOX 817737
Deactivation Date
26 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
3523837703
Graduation Year
1984 (42 years ago)
PAC ID
8325014327
Group Practice PAC ID
0446270995
Professional Enrollment ID
I20040909000843
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

  • Post Box, Hollywood Boulevard, Salisbury Downs, Adelaide, City of Salisbury, South Australia, 5108, Australia

    HOLLYWOOD, FL 330811737

    Phone:

    Type: Mailing

  • Sunrise, Harrison County, Kentucky, United States

    #200

    SUNRISE, FL 333232853

    Phone: (954) 838-2371

    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 33081)

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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: 0446270995View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1194793158 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Hollywood, Florida may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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