Unknown Individual – Family Nurse Practitioner, NPI 1285647073

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Family Nurse Practitioner. They hold a License No. 428662 (FL). The NPI Number for Unknown Individual is 1285647073

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285647073
Phone
(386) 323-7500
Address
551 NATIONAL HEALTHCARE BLVD
Deactivation Date
24 May 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

  • 551 NATIONAL HEALTHCARE BLVD

    DAYTONA BEACH, FL 32117

    Phone: (386) 323-7500

    Type: Location

  • 865, North Summit Avenue, Lake Helen, Volusia County, Florida, 32744, United States

    LAKE HELEN, FL 327442002

    Phone: (386) 228-2677

    Type: Mailing

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 32117)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1285647073 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Daytona Beach, Florida as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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