Unknown Individual – Dermatology Physician, NPI 1306827167

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Dermatology Physician. They hold a License No. ME0068374 (FL). The NPI Number for Unknown Individual is 1306827167

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306827167
Phone
(561) 659-1510
Address
120 BUTLER ST
Deactivation Date
2 October 2025
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

  • 120, Butler Street, West Palm Beach, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 334076107

    Phone: (561) 659-1510

    Fax: (561) 659-0495

    Type: Mailing

  • 13005, Southern Boulevard, Palm Beach County, Florida, 33470, United States

    MEDICAL MALL 1 SUITE 122

    LOXAHATCHEE, FL 334709206

    Phone: (561) 798-1649

    Fax: (561) 791-8631

    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 33407)

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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 1306827167 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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near West Palm Beach?
Unknown Individual currently maps to West Palm Beach, Florida in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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