Unknown Individual – Cardiovascular Disease Physician, NPI 1336266105

Unknown Individual is a healthcare provider. based in Ocoee, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME104630 (FL). The NPI Number for Unknown Individual is 1336266105

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336266105
Phone
(321) 841-6444
Address
10000 W COLONIAL DR
Deactivation Date
16 December 2022

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4075780033
Graduation Year
2000 (26 years ago)
PAC ID
6406833284
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20090925000578
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

Provider Addresses for Unknown Individual

  • 10000 W COLONIAL DR

    STE 484

    OCOEE, FL 347613436

    Phone: (321) 841-6444

    Fax: (407) 650-1307

    Type: Mailing

  • 1222 S ORANGE AVE

    ORLANDO, FL 328061215

    Phone: (407) 650-1300

    Fax: (407) 650-1307

    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.

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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.

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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 34761)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5050
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2113

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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1336266105.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Ocoee, Florida?
For routing, start with Ocoee, Florida for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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