Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1013980093

Unknown Individual is a healthcare provider. based in Lauderdale lakes, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. ME15289 (FL). The NPI Number for Unknown Individual is 1013980093

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013980093
Phone
(954) 739-1214
Address
3001 NW 49TH AVE
Deactivation Date
5 December 2024
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

  • 3001, Northwest 49th Avenue, Lauderdale Lakes, Broward County, Florida, 33313, United States

    SUITE 305

    LAUDERDALE LAKES, FL 333137266

    Phone: (954) 739-1214

    Fax: (954) 739-1256

    Mailing address matches the actual address.

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 33313)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1013980093.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Lauderdale Lakes, Florida in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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