Unknown Individual – Federally Qualified Health Center (FQHC), NPI 1063673382

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Unknown Individual is 1063673382

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063673382
Phone
(239) 278-3600
Address
PO BOX 1357
Deactivation Date
18 May 2022
Data current as of
20 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

  • PO BOX 1357

    FORT MYERS, FL 339021357

    Phone: (239) 278-3600

    Fax: (239) 278-3857

    Type: Mailing

  • 26800, South Tamiami Trail, Palmesta, Bonita Springs, Lee County, Florida, 34134, United States

    #150

    BONITA SPRINGS, FL 341344349

    Phone: (239) 344-2353

    Fax: (239) 992-4984

    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 33902)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1063673382 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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