Unknown Individual – Pediatric Infectious Diseases Physician, NPI 1336149046

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Pediatric Infectious Diseases Physician. They hold a License No. 33639 (DC). The NPI Number for Unknown Individual is 1336149046

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336149046
Phone
(239) 424-1400
Address
PO BOX 2147
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

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 424-1400

    Fax: (239) 424-1451

    Type: Mailing

  • HealthPark Medical Center, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States

    SUITE 279

    FORT MYERS, FL 339083618

    Phone: (239) 343-9710

    Fax: (239) 343-9715

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33902)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1336149046 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pediatric Infectious Diseases Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Fort Myers, Florida may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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