Unknown Individual – Cardiovascular Disease Physician, NPI 1205825049

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME14320 (FL). The NPI Number for Unknown Individual is 1205825049

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205825049
Phone
(305) 685-5688
Address
1240 NW 119TH ST
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056855688
Graduation Year
1961 (65 years ago)
PAC ID
4183780281
Group Practice PAC ID
4486550829
Professional Enrollment ID
I20090225000256
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

  • 1240, Northwest 119th Street, North Miami, Miami-Dade County, Florida, 33167, United States

    MIAMI, FL 331673232

    Phone: (305) 685-5688

    Fax: (305) 687-1817

    Type: Mailing

  • 1272, Northwest 119th Street, North Miami, Miami-Dade County, Florida, 33167, United States

    MIAMI, FL 331673232

    Phone: (305) 685-5688

    Fax: (305) 687-1817

    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 33167)

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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: 4486550829View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1205825049 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Miami, Florida?
For routing, start with Miami, Florida for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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