Unknown Individual – Family Medicine Physician, NPI 1659334571

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Family Medicine Physician. They hold a License No. ME0024494 (FL). The NPI Number for Unknown Individual is 1659334571

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659334571
Phone
(561) 242-9595
Address
2500 METROCENTRE BLVD
Deactivation Date
16 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7726787043
Graduation Year
1971 (55 years ago)
PAC ID
8527134808
Group Practice PAC ID
1951583806
Professional Enrollment ID
I20080910000615
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

  • 2500, Metrocentre Boulevard, West Palm Beach, Palm Beach County, Florida, 33407, United States

    SUITE 5

    WEST PALM BEACH, FL 334073107

    Phone: (561) 242-9595

    Fax: (561) 242-9332

    Mailing address matches the actual address.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33407)

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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: 1951583806View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1659334571 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use West Palm Beach, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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