Unknown Individual – Psychiatry Physician, NPI 1174547251

Unknown Individual is a healthcare provider. based in Plantation, Florida. specializing in Psychiatry Physician. They hold a License No. 25464 (FL). The NPI Number for Unknown Individual is 1174547251

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174547251
Phone
(954) 941-5903
Address
1301 SW 82ND AVE
Deactivation Date
22 May 2025
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

  • 1301, Southwest 82nd Avenue, Plantation, Broward County, Florida, 33324, United States

    2016

    PLANTATION, FL 333243227

    Phone: (954) 941-5903

    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.

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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 33324)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174547251 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Plantation, Florida for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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