Unknown Individual – Medical-Surgical Registered Nurse, NPI 1053334789

Unknown Individual is a healthcare provider. based in Ormond beach, Florida. specializing in Medical-Surgical Registered Nurse. They hold a License No. RN2000012 (FL). The NPI Number for Unknown Individual is 1053334789

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053334789
Phone
(800) 778-6623
Address
PO BOX 730636
Deactivation Date
1 February 2023
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

  • PO BOX 730636

    ORMOND BEACH, FL 321730636

    Phone: (800) 778-6623

    Fax: (352) 750-5029

    Type: Mailing

  • Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142709

    Phone: (386) 254-4000

    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.

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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 32173)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1053334789 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Medical-Surgical Registered Nurse. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Ormond Beach, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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