Unknown Individual – Cardiovascular Disease Physician, NPI 1740227453

Unknown Individual is a healthcare provider. based in Miramar, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME 26234 (FL). The NPI Number for Unknown Individual is 1740227453

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740227453
Phone
(954) 276-5685
Address
2900 CORPORATE WAY
Deactivation Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548838655
Graduation Year
1970 (56 years ago)
PAC ID
1951396779
Group Practice PAC ID
1759364003
Professional Enrollment ID
I20040419001822
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

  • 2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States

    DOOR D

    MIRAMAR, FL 330253925

    Phone: (954) 276-5685

    Fax: (954) 985-7074

    Type: Mailing

  • 605, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 33021

    Phone: (954) 265-7900

    Fax: (954) 276-0278

    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.

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

Insurance plans in this area (ZIP 33025)

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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 studies1515

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: 1759364003View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
-FL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1740227453 on file in the registry.
Is inactive the same as retired for Unknown Individual?
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.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Miramar, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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