Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1205889557

Unknown Individual is a healthcare provider. based in Coral springs, Florida. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. POOOO1300 (FL). The NPI Number for Unknown Individual is 1205889557

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205889557
Phone
(954) 341-4306
Address
2901 CORAL HILLS DR STE 330
Deactivation Date
12 December 2024
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

  • Coral Hills Drive, Coral Springs, Broward County, Florida, 33065, United States

    CORAL SPRINGS, FL 330654146

    Phone: (954) 341-4306

    Fax: (954) 340-4431

    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 33065)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1205889557 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Foot & Ankle Surgery Podiatrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Coral Springs, Florida for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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