Unknown Individual – Internal Medicine Physician, NPI 1336137033

Unknown Individual is a healthcare provider. based in Stuart, Florida. specializing in Internal Medicine Physician. They hold a License No. ME124452 (FL). The NPI Number for Unknown Individual is 1336137033

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336137033
Phone
(772) 223-2832
Address
PO BOX 417
Deactivation Date
8 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722235665
Graduation Year
1995 (31 years ago)
PAC ID
4385540301
Group Practice PAC ID
7315833555
Professional Enrollment ID
I20160426001614
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

  • Stuart, Martin County, Florida, United States

    STUART, FL 349950417

    Phone: (772) 223-2832

    Fax: (772) 223-5646

    Type: Mailing

  • Martin Medical Center, 200, Southeast Hospital Avenue, Stuart, Martin County, Florida, 34995, United States

    STUART, FL 349942346

    Phone: (772) 223-5618

    Fax: (772) 288-5834

    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 34995)

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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: 7315833555View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1336137033 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Stuart, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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