Unknown Individual – Orthopaedic Surgery Physician, NPI 1053395012

Unknown Individual is a healthcare provider. based in Lauderdale lakes, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME0016116 (FL). The NPI Number for Unknown Individual is 1053395012

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053395012
Phone
(954) 739-9700
Address
2951 NW 49TH AVE
Deactivation Date
27 October 2021
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

  • 2951, Northwest 49th Avenue, Lauderdale Lakes, Broward County, Florida, 33313, United States

    SUITE 305

    LAUDERDALE LAKES, FL 333131600

    Phone: (954) 739-9700

    Fax: (954) 739-1934

    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 33313)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1053395012.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Lauderdale Lakes, Florida?
For routing, start with Lauderdale Lakes, Florida for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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