Unknown Individual – Speech-Language Pathologist, NPI 1215059472

Unknown Individual is a healthcare provider. based in Cocoa, Florida. specializing in Speech-Language Pathologist. They hold a License No. SA6598 (FL). The NPI Number for Unknown Individual is 1215059472

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215059472
Phone
(321) 795-3001
Address
6086 AJAX CT
Deactivation Date
3 July 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

Provider Addresses for Unknown Individual

  • 6086 AJAX CT

    COCOA, FL 329278866

    Phone: (321) 795-3001

    Type: Mailing

  • 813 CHENEY HWY

    TITUSVILLE, FL 327806960

    Phone: (321) 267-0500

    Fax: (321) 267-0020

    Type: Location

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.

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Medicare Enrollment & Revalidation

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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 32927)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1215059472 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Cocoa, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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