Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1992779177

Unknown Individual is a healthcare provider. based in Coral gables, Florida. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 72579 (FL). The NPI Number for Unknown Individual is 1992779177

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992779177
Phone
(305) 702-5135
Address
2555 PONCE DE LEON BLVD
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2395939599
Graduation Year
1961 (65 years ago)
PAC ID
0840323945
Group Practice PAC ID
1254434483
Professional Enrollment ID
I20100726000773
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

  • 2555, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33134, United States

    4TH FLOOR

    CORAL GABLES, FL 33134

    Phone: (305) 702-5135

    Fax: (305) 441-2144

    Type: Mailing

  • NCH Baker Hospital Downtown, 350, 7th Street North, Naples, Collier County, Florida, 34102, United States

    NAPLES, FL 34102

    Phone: (813) 263-5107

    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 33134)

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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: 1254434483View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
P A T H O L O G YNE
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Gastroenterology, Internal MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1992779177.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Coral Gables, Florida as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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