Unknown Individual – Surgery Physician, NPI 1972572626

Unknown Individual is a healthcare provider. based in Pembroke pines, Florida. specializing in Surgery Physician. They hold a License No. ME45923 (FL). The NPI Number for Unknown Individual is 1972572626

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972572626
Phone
Not provided
Address
PO BOX 848505
Deactivation Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549646684
Graduation Year
1965 (61 years ago)
PAC ID
5092794594
Group Practice PAC ID
0749426799
Professional Enrollment ID
I20040719000169
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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 848505

    PEMBROKE PINES, FL 330840505

    Phone:

    Type: Mailing

  • 2205, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States

    PEMBROKE PINES, FL 330243611

    Phone: (954) 964-6684

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33084)

Loading plans...

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: 0749426799View full group profile
NameSpecialtyState
Vascular SurgeryFL
Vascular SurgeryFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1972572626 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 Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Pembroke Pines, Florida as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

DEXTER C SEREDA (MD)

Surgery Physician
2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States
NPI: 1356337026

ANEL ALVARADO (M.D.)

Surgery Physician
PO BOX 260939
NPI: 1629065222
5015, Hollywood Boulevard, Hollywood, Broward County, Florida, 33024, United States
NPI: 1679562219
7100, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33016, United States
NPI: 1467441618
North Flamingo Road, Pembroke Pines, Broward County, Florida, 33028, United States
NPI: 1598747636

JEFFREY PAUL SNOW (MD)

Colon & Rectal Surgery Physician
7261 SHERIDAN ST STE 350
NPI: 1518926807
601 N FLAMINGO RD STE 308
NPI: 1083654347
Pembroke Pines Car Accident Lawyer Group, 7100, Pines Boulevard, Pembroke Pines, Broward County, Florida, 33024, United States
NPI: 1396787024

EMIL MATEI (DO)

Surgery Physician
2301 N University Dr Ste 103
NPI: 1275575854