Unknown Individual – Pediatric Orthopaedic Surgery Physician, NPI 1124237664

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Pediatric Orthopaedic Surgery Physician. They hold a License No. 40335 (FL). The NPI Number for Unknown Individual is 1124237664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124237664
Phone
(954) 966-6450
Address
3389 SHERIDAN ST
Deactivation Date
5 February 2026
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

  • Sheridan Street, Hollywood, Broward County, Florida, 33004, United States

    #301

    HOLLYWOOD, FL 330213606

    Phone: (954) 966-6450

    Type: Mailing

  • 4440, Sheridan Street, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 330213535

    Phone: (954) 966-6450

    Type: Location

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 33021)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1124237664.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pediatric Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Hollywood, Florida in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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