Unknown Individual – General Practice Physician, NPI 1710935259

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in General Practice Physician. They hold a License No. ME77937 (FL). The NPI Number for Unknown Individual is 1710935259

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710935259
Phone
(305) 220-3600
Address
9774 SW 24TH ST
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052847500
Graduation Year
1998 (28 years ago)
PAC ID
0547151474
Group Practice PAC ID
7810012655
Professional Enrollment ID
I20040827000192
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

  • 9774, Southwest 24th Street, University Park, Miami-Dade County, Florida, 33165, United States

    MIAMI, FL 331657574

    Phone: (305) 220-3600

    Fax: (305) 220-8191

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($130).

Total Amount

$174

General + Research + Ownership

Payments

3

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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 33165)

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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: 7810012655View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1710935259.
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 General Practice Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Miami, Florida?
If you are local to Miami, Florida, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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345, Ocean Drive, South Beach, Miami Beach, Miami-Dade County, Florida, 33139, United States
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