Unknown Individual – Medical Physician Assistant, NPI 1144493016

Unknown Individual is a healthcare provider. based in Tamarac, Florida. specializing in Medical Physician Assistant. They hold a License No. PA3630 (FL). The NPI Number for Unknown Individual is 1144493016

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144493016
Phone
(954) 720-0056
Address
7737 N UNIVERSITY DR STE 107
Deactivation Date
21 September 2021
Data current as of
20 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

  • North University Drive, Tamarac, Broward County, Florida, 33321, United States

    TAMARAC, FL 333212968

    Phone: (954) 720-0056

    Fax: (954) 721-4120

    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 33321)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1144493016 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tamarac?
Unknown Individual currently maps to Tamarac, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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