Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1063442929

Unknown Individual is a healthcare provider. based in Pembroke pines, Florida. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. ME 26813 (FL). The NPI Number for Unknown Individual is 1063442929

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063442929
Phone
(954) 965-2870
Address
2301 N UNIVERSITY DR
Deactivation Date
20 October 2022
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

  • 2301, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States

    202

    PEMBROKE PINES, FL 330243617

    Phone: (954) 965-2870

    Fax: (954) 965-2893

    Type: Location

  • 922, Van Buren Street, Hollywood, Broward County, Florida, 33019, United States

    HOLLYWOOD, FL 330191637

    Phone: (954) 920-3779

    Fax: (954) 920-0767

    Type: Mailing

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 33024)

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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 1063442929 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Pembroke Pines, Florida. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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