Unknown Individual – Orthopaedic Surgery Physician, NPI 1881670602

Unknown Individual is a healthcare provider. based in Pompano beach, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME72770 (FL). The NPI Number for Unknown Individual is 1881670602

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1881670602
Phone
(954) 788-9000
Address
1600 S FEDERAL HWY
Deactivation Date
11 June 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2294961193
Graduation Year
1985 (41 years ago)
PAC ID
2668657479
Group Practice PAC ID
1254659675
Professional Enrollment ID
I20130615000068
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

  • 1600, Federal Highway, Pompano Isles, Pompano Beach, Broward County, Florida, 33062, United States

    POMPANO BEACH, FL 330627500

    Phone: (954) 788-9000

    Fax: (954) 788-9307

    Type: Mailing

  • 2405, Osler Court, Pointe North, Dawson Heights, Albany, Dougherty County, Georgia, 31707, United States

    ALBANY, GA 317070214

    Phone: (229) 435-1458

    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.

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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.

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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 33062)

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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: 1254659675View full group profile
NameSpecialtyState
-GA

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 1881670602.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Pompano Beach, Florida?
If you are local to Pompano Beach, Florida, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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