Unknown Individual – Urology Physician, NPI 1134170202

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Urology Physician. They hold a License No. ME 25654 (FL). The NPI Number for Unknown Individual is 1134170202

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134170202
Phone
(386) 239-8500
Address
545 HEALTH BLVD
Deactivation Date
18 September 2024
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

  • 545, Health Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321141493

    Phone: (386) 239-8500

    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

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 32114)

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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 1134170202.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Daytona Beach, Florida?
For routing, start with Daytona Beach, Florida for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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