Unknown Individual – Family Medicine Physician, NPI 1336198837

Unknown Individual is a healthcare provider. based in Cooper city, Florida. specializing in Family Medicine Physician. They hold a License No. 050005442 (FL). The NPI Number for Unknown Individual is 1336198837

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336198837
Phone
(954) 704-1828
Address
9950 STIRLING RD
Deactivation Date
28 June 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9547041828
Graduation Year
1972 (54 years ago)
PAC ID
7517041718
Professional Enrollment ID
I20080227000171
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

  • 9950, Stirling Road, Cooper City, Broward County, Florida, 33328, United States

    SUITE 108

    COOPER CITY, FL 33024

    Phone: (954) 704-1828

    Fax: (954) 704-1797

    Mailing address matches the actual address.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10772$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3021$0
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Insurance plans in this area (ZIP 33024)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1336198837?
NPI 1336198837 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Cooper City, Florida.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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