Unknown Individual – Cardiovascular Disease Physician, NPI 1689674210

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. DO383 (AL). The NPI Number for Unknown Individual is 1689674210

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689674210
Phone
(850) 484-6500
Address
9400 UNIVERSITY PKWY STE 103
Deactivation Date
3 August 2021

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
8504307081
Graduation Year
1985 (41 years ago)
PAC ID
6800977216
Group Practice PAC ID
5991693327
Professional Enrollment ID
I20100324000922
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 9400 UNIVERSITY PKWY STE 103

    PENSACOLA, FL 325145485

    Phone: (850) 484-6500

    Fax: (850) 857-1747

    Type: Location

  • 1717, North E Street, Pensacola, Escambia County, Florida, 32501, United States

    SUITE 331

    PENSACOLA, FL 325016339

    Phone: (850) 444-1717

    Type: Mailing

  • 1717 N E St

    Suite 331

    Pensacola, FL 325016339

    Phone: (850) 444-1717

    Fax: (850) 857-1747

    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.

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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 32514)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies255255

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: 5991693327View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1689674210 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Pensacola?
Public fields place Unknown Individual around Pensacola, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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