Unknown Individual – Medical Specialty Clinic/Center, NPI 1265452858

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Medical Specialty Clinic/Center. They hold a License No. ME11541 (FL). The NPI Number for Unknown Individual is 1265452858

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265452858
Phone
(954) 328-6050
Address
3505 S OCEAN DR APT 1412
Deactivation Date
16 December 2022
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

  • 3505 S OCEAN DR APT 1412

    HOLLYWOOD, FL 330192820

    Phone: (954) 328-6050

    Fax: (954) 027-6276

    Type: Mailing

  • 1211 NW 16 ST

    MIAMI, FL 33136

    Phone: (305) 585-6827

    Fax: (305) 585-8801

    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.

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 33019)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1265452858 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Medical Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Hollywood, Florida in the data we show; additional addresses may exist on the full record.
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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