Unknown Individual – PACE Provider Organization, NPI 1154650588

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in PACE Provider Organization. They hold a License No. MA-47501 (FL). The NPI Number for Unknown Individual is 1154650588

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154650588
Phone
(305) 595-2111
Address
10300 SW 72ND ST
Deactivation Date
30 June 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

  • Miami Sunset Senior High, 13125, Southwest 72nd Street, Miami, Miami-Dade County, Florida, 33183, United States

    SUITE# 323

    MIAMI, FL 331733012

    Phone: (305) 595-2111

    Fax: (305) 595-2444

    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 33173)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1154650588.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note PACE Provider Organization for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Miami, Florida for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1154650588. Always confirm identity and privileges with the practice and licensing boards.

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