Unknown Individual – Surgery Physician, NPI 1295806909

Unknown Individual is a healthcare provider. based in Pompano beach, Florida. specializing in Surgery Physician. They hold a License No. ME25125 (FL). The NPI Number for Unknown Individual is 1295806909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295806909
Phone
(954) 781-5300
Address
4301 NORTH FEDERAL HIGHWAY
Deactivation Date
20 March 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

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Provider Addresses for Unknown Individual

  • North Federal Highway, Pompano Isles, Pompano Beach, Broward County, Florida, 33308, United States

    SUITE 5

    POMPANO BEACH, FL 330648431

    Phone: (954) 781-5300

    Fax: (954) 781-5301

    Type: Location

  • PO BOX 50175

    LIGHTHOUSE POINT, FL 330740175

    Phone: (954) 781-5300

    Fax: (954) 781-5301

    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 33064)

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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 1295806909 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Pompano Beach?
Unknown Individual currently maps to Pompano Beach, Florida in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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