Unknown Individual – Ph.D. Medical Genetics, NPI 1114904208

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Ph.D. Medical Genetics. They hold a License No. ME 32916 (FL). The NPI Number for Unknown Individual is 1114904208

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114904208
Phone
(407) 282-8200
Address
2285 S SEMORAN BLVD
Deactivation Date
16 September 2022
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

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Provider Addresses for Unknown Individual

  • Semoran Boulevard, Orlando, Orange County, Florida, 32822, United States

    ORLANDO, FL 328222703

    Phone: (407) 282-8200

    Fax: (407) 282-8019

    Type: Location

  • West Colonial Drive, Orlando, Orange County, Florida, 32801, United States

    ORLANDO, FL 328187812

    Phone: (407) 447-4283

    Fax: (407) 447-4274

    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 32822)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1114904208; it appears in the national provider directory.
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.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Ph.D. Medical Genetics for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Orlando, Florida for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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