Unknown Individual – Pediatrics Physician, NPI 1194701904

Unknown Individual is a healthcare provider. based in Loxahatchee, Florida. specializing in Pediatrics Physician. They hold a License No. ME62415 (FL). The NPI Number for Unknown Individual is 1194701904

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194701904
Phone
(561) 798-3300
Address
13001 SOUTHERN BLVD
Deactivation Date
13 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Palms West Hospital, 13001, Southern Boulevard, Palm Beach County, Florida, 33470, United States

    LOXAHATCHEE, FL 334709203

    Phone: (561) 798-3300

    Type: Location

  • PO BOX 17540

    PLANTATION, FL 333187540

    Phone: (954) 838-2371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33470)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1194701904 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Pediatrics Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Loxahatchee, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MRS. SANDRA SMITH HARMON (MD)

Pediatrics Physician
5063, 10th Avenue North, Greenacres, Palm Beach County, Florida, 33463, United States
NPI: 1700887049
12955 PALMS WEST DR
NPI: 1851392237

MRS. JONELL YOUNG MAHONEY (MD)

Pediatrics Physician
12983 SOUTHERN BLVD STE 100
NPI: 1932100237

MRS. SHANNON J FOX-LEVINE (MD)

Pediatrics Physician
12955 PALMS WEST DR
NPI: 1295737849

MRS. JENNIFER GRIFFITHS RIDDLE (ARNP)

Family Nurse Practitioner
8200 S JOG RD STE 203
NPI: 1093717514

MRS. ANDREA CHANCE STARK (ARNP)

Pediatric Nurse Practitioner
12955 PALMS WEST DR STE 100
NPI: 1194727644

MRS. AMY ZARON AQUA (MD)

Pediatrics Physician
5063, 10th Avenue North, Greenacres, Palm Beach County, Florida, 33463, United States
NPI: 1053313510

DR. ABIMBOLA ODUSANYA (MD)

Pediatrics Physician
11131, Manderly Lane, The Isles, Wellington, Palm Beach County, Florida, 33449, United States
NPI: 1689660151

ANA NAPOLES-RUIZ (MD)

Pediatrics Physician
7800, Southwest 87th Avenue, Sunset Corners, Miami-Dade County, Florida, 33173, United States
NPI: 1275518227