Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1700967312

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. ME63703 (FL). The NPI Number for Unknown Individual is 1700967312

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700967312
Phone
(305) 665-4614
Address
5901 SW 74TH ST
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052645252
Graduation Year
1987 (39 years ago)
PAC ID
5698810026
Group Practice PAC ID
8628005949
Professional Enrollment ID
I20100309000777
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

  • 5901, Southwest 74th Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SUITE 202

    MIAMI, FL 331435165

    Phone: (305) 665-4614

    Fax: (305) 667-0239

    Type: Mailing

  • The Miami Medical Center, 5959, Northwest 7th Street, Miami, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331263129

    Phone: (305) 665-4614

    Fax: (305) 667-0239

    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
85060Blood smear interpretation by physician with written report1717$0
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Insurance plans in this area (ZIP 33143)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity2823

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: 8628005949View full group profile
NameSpecialtyState
P A T H O L O G YFL
P A T H O L O G YFL
P A T H O L O G YFL

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1700967312 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Miami, Florida. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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