Unknown Individual – Family Medicine Physician, NPI 1023001906

Unknown Individual is a healthcare provider. based in Casselberry, Florida. specializing in Family Medicine Physician. They hold a License No. ME0012977 (FL). The NPI Number for Unknown Individual is 1023001906

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023001906
Phone
(407) 831-3456
Address
515 STATE ROAD 436
Deactivation Date
1 January 2026
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

Provider Addresses for Unknown Individual

  • 515 STATE ROAD 436

    SUITE 1000

    CASSELBERRY, FL 327075341

    Phone: (407) 831-3456

    Fax: (407) 831-0209

    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.

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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 32707)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test4128

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1023001906 — the number used across U.S. healthcare to identify this provider.
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Casselberry?
Unknown Individual currently maps to Casselberry, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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