Unknown Individual – Prosthetic/Orthotic Supplier, NPI 1154572105

Unknown Individual is a healthcare provider. based in Hialeah, Florida. specializing in Prosthetic/Orthotic Supplier. They hold a License No. POR 175 (FL). The NPI Number for Unknown Individual is 1154572105

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154572105
Phone
(561) 394-4200
Address
4735 PALM AVE
Deactivation Date
6 July 2023
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

  • 4735, Palm Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330124037

    Phone: (561) 394-4200

    Fax: (561) 394-4422

    Type: Mailing

  • 7305 SW GAINES AVE

    STUART, FL 349977332

    Phone: (305) 672-9393

    Fax: (305) 675-3706

    Type: Mailing

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 33012)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1154572105.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Hialeah, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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