Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1063060580

Unknown Individual is a healthcare provider. based in Loxahatchee, Florida. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Unknown Individual is 1063060580

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063060580
Phone
(561) 848-7722
Address
12989 SOUTHERN BLVD STE 104
Deactivation Date
21 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 12989 SOUTHERN BLVD STE 104

    LOXAHATCHEE, FL 334709205

    Phone: (561) 848-7722

    Fax: (561) 848-7812

    Type: Location

  • Prosperity Farms Road, Palm Beach Gardens, Palm Beach County, Florida, 33410, United States

    PALM BEACH GARDENS, FL 334103465

    Phone: (561) 848-7722

    Fax: (561) 848-7812

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33470)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1063060580 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Foot & Ankle Surgery Podiatrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Loxahatchee, Florida for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1063060580. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. DOROTHY BLANK (D.P.M.)

Foot & Ankle Surgery Podiatrist
13005, Southern Boulevard, Palm Beach County, Florida, 33470, United States
NPI: 1497768873

ANKLE & FOOT CENTRE OF S FLORIDA PA

Foot & Ankle Surgery Podiatrist
13005, Southern Boulevard, Palm Beach County, Florida, 33470, United States
NPI: 1760495162

LA Medical Associates

Internal Medicine Physician
925 S State Road 7
NPI: 1881804094

DR. DINA HANSEN (DPM)

Foot & Ankle Surgery Podiatrist
2326 S CONGRESS AVE
NPI: 1326421280

DR. DEREK ALAN PAWICH (D.P.M.)

Foot & Ankle Surgery Podiatrist
2326 S CONGRESS AVE STE 1A
NPI: 1184076069

The Foot and Ankle Clinic

Foot & Ankle Surgery Podiatrist
113, State Road 7, Polo Lakes Apartments, Royal Palm Beach, Palm Beach County, Florida, 33414, United States
NPI: 1568964633

MATTHEW ERIC GREENBLATT (DPM)

Student in an Organized Health Care Education/Training Program
12983 SOUTHERN BLVD STE 206
NPI: 1699304956

CHRISTINE MARIE SCHULER

Student in an Organized Health Care Education/Training Program
10151 Enterprise Ctr Ste 205
NPI: 1962082339

SIGNATURE FOOT & ANKLE, LLC

Foot & Ankle Surgery Podiatrist
6080 Boynton Beach Blvd Ste 100
NPI: 1033854054