Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1275512717

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. DR19272 (CO). The NPI Number for Unknown Individual is 1275512717

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275512717
Phone
(561) 712-6265
Address
7111 FAIRWAY DR
Deactivation Date
22 January 2026
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

  • 7111, Fairway Drive, PGA National, Palm Beach Gardens, Palm Beach County, Florida, 33418, United States

    SUITE 400

    PALM BEACH GARDENS, FL 334184204

    Phone: (561) 712-6265

    Fax: (561) 712-7349

    Type: Mailing

  • 6750, West 52nd Avenue, Arvada, Jefferson County, Colorado, 80002, United States

    SUITE F

    ARVADA, CO 800023956

    Phone: (720) 898-3300

    Fax: (720) 898-3333

    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

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 33418)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1275512717.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Palm Beach Gardens, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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