Unknown Individual – Federally Qualified Health Center (FQHC), NPI 1124289475

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Unknown Individual is 1124289475

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124289475
Phone
(239) 344-2307
Address
9800 S HEALTHPARK DR
Deactivation Date
17 August 2021
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

  • 9800 S HEALTHPARK DR

    SUITE 110

    FORT MYERS, FL 339087603

    Phone: (239) 344-2307

    Fax: (239) 267-6219

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328919771

    Phone: (239) 278-3600

    Fax: (239) 226-4650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

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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 33908)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1124289475.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Fort Myers, Florida?
If you are local to Fort Myers, Florida, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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