Unknown Individual – Interventional Cardiology Physician, NPI 1447446695

Unknown Individual is a healthcare provider. based in Palm coast, Florida. specializing in Interventional Cardiology Physician. They hold a License No. ME72928 (FL). The NPI Number for Unknown Individual is 1447446695

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447446695
Phone
(386) 586-1720
Address
61 MEMORIAL MEDICAL PKWY
Deactivation Date
21 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

  • 61, Memorial Medical Parkway, Palm Coast, Flagler County, Florida, 32164, United States

    SUITE 3816

    PALM COAST, FL 321645981

    Phone: (386) 586-1720

    Fax: (386) 586-5422

    Mailing address matches the actual address.

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 32164)

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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 1447446695 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Palm Coast, Florida may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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