Unknown Individual – Sports Physician Chiropractor, NPI 1215022678

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Sports Physician Chiropractor. They hold a License No. CH0001704 (FL). The NPI Number for Unknown Individual is 1215022678

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215022678
Phone
(954) 966-0007
Address
6363 TAFT STREET,
Deactivation Date
4 December 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

  • 6363, Taft Street, Sunshine Park, Hollywood, Broward County, Florida, 33024, United States

    SUITE 100

    HOLLYWOOD, FL 330245959

    Phone: (954) 966-0007

    Fax: (954) 966-7472

    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 33024)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1215022678 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 field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Hollywood, Florida for Unknown Individual based on available NPPES addresses.
What if Hollywood, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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