Unknown Individual – Emergency Medicine Physician, NPI 1407802291

Unknown Individual is a healthcare provider. based in Lake placid, Florida. specializing in Emergency Medicine Physician. They hold a License No. OS6141 (FL). The NPI Number for Unknown Individual is 1407802291

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407802291
Phone
(863) 699-4372
Address
1210 US HIGHWAY 27 N
Deactivation Date
11 January 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

  • 1210 US HIGHWAY 27 N

    LAKE PLACID, FL 338527948

    Phone: (863) 699-4372

    Type: Location

  • 6028, Strafford Oaks Drive, Sebring, Highlands County, Florida, 33875, United States

    SEBRING, FL 338754779

    Phone: (863) 314-0099

    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.

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 33852)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1407802291 in the public NPI dataset.
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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lake Placid, 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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