Unknown Individual – Family Medicine Physician, NPI 1396747978

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Family Medicine Physician. They hold a License No. ME55128 (FL). The NPI Number for Unknown Individual is 1396747978

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396747978
Phone
(407) 253-3537
Address
PO BOX 616788
Deactivation Date
23 August 2021
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

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328616788

    Phone: (407) 253-3537

    Fax: (407) 770-0661

    Type: Mailing

  • Southeast 165th Mulberry Lane, The Villages, Marion County, Florida, 34491, United States

    THE VILLAGES, FL 321625847

    Phone: (352) 753-1727

    Fax: (352) 753-7567

    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.

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.

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 32861)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1396747978 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Orlando, Florida for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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