Unknown Individual – Dermatopathology (Pathology) Physician, NPI 1770625931

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Dermatopathology (Pathology) Physician. They hold a License No. ME97895 (FL). The NPI Number for Unknown Individual is 1770625931

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770625931
Phone
(800) 330-6565
Address
7111 FAIRWAY DR
Deactivation Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2399365425221
Graduation Year
1996 (30 years ago)
PAC ID
3274763818
Group Practice PAC ID
1355370495
Professional Enrollment ID
I20140227002024
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

Provider Addresses for Unknown Individual

  • 7111 FAIRWAY DR

    SUITE 400

    PALM BEACH GARDENS, FL 334184204

    Phone: (800) 330-6565

    Fax: (561) 712-7349

    Type: Mailing

  • 8150 CHANCELLOR DR

    SUITE 110

    ORLANDO, FL 328097691

    Phone: (800) 395-7284

    Fax: (407) 856-2312

    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
88305Pathology examination of tissue using a microscope, intermediate complexity13,4225,654$0
88341Special stained specimen slides to examine tissue, each additional procedure526350$0
88342Special stained specimen slides to examine tissue, initial procedure407374$0
88304Pathology examination of tissue using a microscope, moderately low complexity290272$0
88312Special stained specimen slides to identify organisms including interpretation and report289242$0
View full utilization report →

Insurance plans in this area (ZIP 33418)

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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: 1355370495View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Physician AssistantFL
P A T H O L O G YCA
Nurse PractitionerFL
Physician AssistantFL
-FL
D E R M A T O L O G YFL
Physician AssistantFL

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1770625931 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Dermatopathology (Pathology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Palm Beach Gardens, Florida for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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