Unknown Individual – Anesthesiologist Assistant, NPI 1750328530

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Anesthesiologist Assistant. They hold a License No. 002103 (GA). The NPI Number for Unknown Individual is 1750328530

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750328530
Phone
(800) 243-3839
Address
PO BOX 551420
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043510500
Graduation Year
1989 (37 years ago)
PAC ID
8820047087
Group Practice PAC ID
9133114234
Professional Enrollment ID
I20050114000599
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 551420

    FORT LAUDERDALE, FL 333551420

    Phone: (800) 243-3839

    Fax: (942) 839-2569

    Type: Mailing

  • Peachtree Road, Brookwood, Atlanta, Georgia, 30363, United States

    ATLANTA, GA 303091261

    Phone: (404) 351-1745

    Fax: (404) 351-7121

    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 33355)

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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: 9133114234View full group profile
NameSpecialtyState
Anesthesiology AssistantGA
-PA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
-GA
Anesthesiology AssistantGA
Anesthesiology AssistantFL
-GA

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1750328530 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Fort Lauderdale, Florida as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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