Unknown Individual – Otolaryngology Physician, NPI 1447215884

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Otolaryngology Physician. They hold a License No. MD070373L (PA). The NPI Number for Unknown Individual is 1447215884

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447215884
Phone
(904) 383-1015
Address
PO BOX 44008
Deactivation Date
12 January 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
5294839791
Professional Enrollment ID
I20070322000205
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 44008

    JACKSONVILLE, FL 322314008

    Phone: (904) 383-1015

    Fax: (904) 244-6252

    Type: Mailing

  • 653 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone: (904) 383-1015

    Fax: (904) 244-6252

    Type: Location

  • 25, Bala Avenue, Bala-Cynwyd, Lower Merion Township, Montgomery County, Pennsylvania, 19004, United States

    SUITE 200

    BALA CYNWYD, PA 190043213

    Phone: (484) 270-8095

    Fax: (484) 270-8353

    Type: Location

  • Bala Cynwyd Post Office, Conshohocken State Road, Merion, Bala Cynwyd, Lower Merion Township, Montgomery County, Pennsylvania, 19004, United States

    BALA CYNWYD, PA 190046878

    Phone: (484) 270-8095

    Fax: (484) 270-8353

    Type: Mailing

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 32231)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1447215884.
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.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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