Unknown Individual – Family Medicine Physician, NPI 1639271711

Unknown Individual is a healthcare provider. based in Windermere, Florida. specializing in Family Medicine Physician. They hold a License No. ME0041722 (FL). The NPI Number for Unknown Individual is 1639271711

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639271711
Phone
(407) 656-7866
Address
PO BOX 1590
Deactivation Date
2 August 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4076567866
Graduation Year
1982 (44 years ago)
PAC ID
9032308853
Group Practice PAC ID
6507055316
Professional Enrollment ID
I20110126000468
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

  • Windermere Post Office, 21, Crescent Road, The Common, Windermere, Westmorland and Furness, England, LA23 1EA, United Kingdom

    WINDERMERE, FL 347861590

    Phone: (407) 656-7866

    Fax: (407) 656-3032

    Type: Mailing

  • Silver Star Road, Ocoee, Orange County, Florida, 34761, United States

    OCOEE, FL 347612460

    Phone: (407) 656-7866

    Fax: (407) 656-3032

    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.

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
99215Established patient office or other outpatient visit, 40-54 minutes2215$0
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Insurance plans in this area (ZIP 34786)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1639271711 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Windermere, Florida because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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