Unknown Individual – Specialist, NPI 1639133697

Unknown Individual is a healthcare provider. based in Tamarac, Florida. specializing in Specialist. They hold a License No. ME14909 (FL). The NPI Number for Unknown Individual is 1639133697

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639133697
Phone
(954) 720-7777
Address
7777 N UNIVERSITY DR
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547207777
Graduation Year
1967 (59 years ago)
PAC ID
0143378190
Professional Enrollment ID
I20090430000164
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

Loading map...

Provider Addresses for Unknown Individual

  • North University Drive, Tamarac, Broward County, Florida, 33321, United States

    SUITE 102

    TAMARAC, FL 333216106

    Phone: (954) 720-7777

    Fax: (954) 726-2896

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($19).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 33321)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

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 1639133697.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Tamarac, Florida in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

North University Drive, Tamarac, Broward County, Florida, 33321, United States
NPI: 1578549440

EILEEN CRIGLER

Surgical Physician Assistant
Northwest 71st Court, Tamarac, Broward County, Florida, 33321, United States
NPI: 1013994169
6006, Lombard Court, Tamarac, Broward County, Florida, 33321, United States
NPI: 1174580161
12177, Pembroke Road, Pembroke Pines, Broward County, Florida, 33025, United States
NPI: 1023068251
7351 W OAKLAND PARK BLVD
NPI: 1538195813
North University Drive, Tamarac, Broward County, Florida, 33321, United States
NPI: 1962430561
P.O. BOX 2277
NPI: 1730110503

DR. KENNETH J. MONSON (M.D.)

Radiation Oncology Physician
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1891713236
300 NW 70TH AVE STE 107
NPI: 1285655860