Unknown Individual – Psychiatry Physician, NPI 1093770273

Unknown Individual is a healthcare provider. based in Palm coast, Florida. specializing in Psychiatry Physician. They hold a License No. ME11900 (FL). The NPI Number for Unknown Individual is 1093770273

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093770273
Phone
(386) 446-9291
Address
800 CINNAMON BEACH WAY
Deactivation Date
17 May 2023
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

Provider Addresses for Unknown Individual

  • 800 CINNAMON BEACH WAY

    UNIT 722

    PALM COAST, FL 321372384

    Phone: (386) 446-9291

    Fax: (386) 446-9291

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32137)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1093770273 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Palm Coast, Florida may find Unknown Individual in results; validate coverage separately.
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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