Unknown Individual – Hematology & Oncology Physician, NPI 1114170206

Unknown Individual is a healthcare provider. based in Lake worth, Florida. specializing in Hematology & Oncology Physician. The NPI Number for Unknown Individual is 1114170206

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114170206
Phone
(561) 965-1864
Address
4685 S CONGRESS AVE
Deactivation Date
6 April 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

Provider Addresses for Unknown Individual

  • 4685 S CONGRESS AVE

    SUITE 200

    LAKE WORTH, FL 334614761

    Phone: (561) 965-1864

    Fax: (561) 967-5005

    Type: Location

  • 5700, Lake Worth Road, Palm Beach Villas II, Greenacres, Palm Beach County, Florida, 33463, United States

    SUITE 204

    GREENACRES, FL 334634727

    Phone: (561) 968-7968

    Fax: (561) 964-4603

    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 33461)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1114170206 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Hematology & Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lake Worth, Florida may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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