Unknown Individual – Case Manager/Care Coordinator, NPI 1063491314

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Case Manager/Care Coordinator. The NPI Number for Unknown Individual is 1063491314

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063491314
Phone
(386) 236-1710
Address
1220 WILLIS AVE
Deactivation Date
27 September 2021
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

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Provider Addresses for Unknown Individual

  • 1220, Willis Avenue, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142810

    Phone: (386) 236-1710

    Fax: (386) 236-3164

    Type: Location

  • 3303, Tamarind Drive, Edgewater, Volusia County, Florida, 32141, United States

    EDGEWATER, FL 321416409

    Phone: (386) 679-9776

    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.

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 32114)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1063491314 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Daytona Beach, Florida for Unknown Individual based on available NPPES addresses.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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