Unknown Individual – Psychiatry Physician, NPI 1114049848

Unknown Individual is a healthcare provider. based in Plantation, Florida. specializing in Psychiatry Physician. They hold a License No. OS3880 (FL). The NPI Number for Unknown Individual is 1114049848

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114049848
Phone
(954) 792-0772
Address
120 SOUTH UNIVERSITY DRIVE
Deactivation Date
14 June 2021
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

  • 120 SOUTH UNIVERSITY DRIVE

    SUITE D

    PLANTATION, FL 333243346

    Phone: (954) 792-0772

    Fax: (954) 792-1221

    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 33324)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1114049848 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Plantation, Florida for Unknown Individual; expand the address list for detail.
What if Plantation, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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