Unknown Individual – Neurological Surgery Physician, NPI 1124027461

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Neurological Surgery Physician. They hold a License No. ME0013915 (FL). The NPI Number for Unknown Individual is 1124027461

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124027461
Phone
(386) 257-5055
Address
311 N CLYDE MORRIS BLVD
Deactivation Date
15 May 2025
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

  • 311, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    SUITE 580

    DAYTONA BEACH, FL 321142781

    Phone: (386) 257-5055

    Fax: (386) 257-5058

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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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 32114)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1124027461 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Neurological Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Daytona Beach, Florida for Unknown Individual; expand the address list for detail.
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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