Unknown Individual – Internal Medicine Physician, NPI 1447231477

Unknown Individual is a healthcare provider. based in Coral springs, Florida. specializing in Internal Medicine Physician. They hold a License No. ME12903 (FL). The NPI Number for Unknown Individual is 1447231477

Main info

Organization
Inactive
67 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447231477
Phone
(954) 449-5858
Address
12257 NW 57TH ST
Deactivation Date
28 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
9544495856
Graduation Year
1959 (67 years ago)
PAC ID
0749189363
Professional Enrollment ID
I20040102000579
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

  • Northwest 57th Street, Parkland, Broward County, Florida, 33067, United States

    CORAL SPRINGS, FL 330766343

    Phone: (954) 449-5858

    Fax: (754) 702-3693

    Type: Mailing

  • 6893 SUGARLOAF KEY ST

    LAKE WORTH, FL 334677651

    Phone: (561) 399-1826

    Fax: (754) 702-3693

    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 33076)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1447231477.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Coral Springs, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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