Unknown Individual – Surgery Physician, NPI 1477533628

Unknown Individual is a healthcare provider. based in Hialeah, Florida. specializing in Surgery Physician. They hold a License No. ME21831 (FL). The NPI Number for Unknown Individual is 1477533628

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477533628
Phone
(305) 822-3019
Address
PO BOX 22635
Deactivation Date
18 October 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

  • PO BOX 22635

    HIALEAH, FL 330022634

    Phone: (305) 822-3019

    Fax: (305) 822-3048

    Type: Mailing

  • 6195, West 8th Avenue, Palm Springs Estates, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330126537

    Phone: (305) 822-3019

    Fax: (305) 822-3048

    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.

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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 33002)

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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 1477533628 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
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 Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Hialeah, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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