Unknown Individual – Orthopaedic Surgery Physician, NPI 1891809950

Unknown Individual is a healthcare provider. based in Winter haven, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME64942 (FL). The NPI Number for Unknown Individual is 1891809950

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891809950
Phone
(863) 324-6100
Address
575 E Central Ave
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
3971583410
Professional Enrollment ID
I20040723000883
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 575 E Central Ave

    Winter Haven, FL 338803054

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Location

  • 4040 US Highway 27 N

    Sebring, FL 338701320

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Location

  • 1526 Commercial Park Dr Ste 5

    Lakeland, FL 338016568

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Location

  • 5401 W Kennedy Blvd Ste 100

    Tampa, FL 336092457

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Location

  • Lake Wales, Polk County, Florida, United States

    SUITE 122

    LAKE WALES, FL 338597802

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Mailing

  • 1120, Carlton Avenue, Lake Wales, Polk County, Florida, 33853, United States

    SUITE 1400

    LAKE WALES, FL 338534348

    Phone: (863) 324-6100

    Fax: (863) 679-9182

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $4,544.

Total Amount is formed as General ($4,544) + Research ($0) + Ownership ($0) = $4,544.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Arthrex, Inc. ($2,901).

Total Amount

$4,544

General + Research + Ownership

Payments

68

Total payment records

General Amount

$4,544

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 33880)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1891809950 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Winter Haven, Florida as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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