Unknown Individual – Internal Medicine Physician, NPI 1932132057

Unknown Individual is a healthcare provider. based in Miami lakes, Florida. specializing in Internal Medicine Physician. They hold a License No. ME95887 (FL). The NPI Number for Unknown Individual is 1932132057

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932132057
Phone
(305) 685-5688
Address
14750 NW 77TH CT STE 303
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056855688
Graduation Year
1996 (30 years ago)
PAC ID
0547268534
Group Practice PAC ID
4486550829
Professional Enrollment ID
I20061130000196
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

  • 14750 NW 77TH CT STE 303

    MIAMI LAKES, FL 330161537

    Phone: (305) 685-5688

    Fax: (786) 618-5307

    Type: Mailing

  • Northwest 2nd Avenue, Miami Gardens, Miami-Dade County, Florida, 33169, United States

    MIAMI, FL 331692538

    Phone: (305) 685-5688

    Fax: (305) 652-4545

    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 33016)

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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: 4486550829View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1932132057; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Miami Lakes, Florida on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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