Unknown Individual – Addiction Medicine (Preventive Medicine) Physician, NPI 1568428563

Unknown Individual is a healthcare provider. based in Ft lauderdale, Florida. specializing in Addiction Medicine (Preventive Medicine) Physician. They hold a License No. ME70766 (FL). The NPI Number for Unknown Individual is 1568428563

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568428563
Phone
(954) 529-1667
Address
3031 NE 47th St
Deactivation Date
27 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3031 NE 47th St

    Ft Lauderdale, FL 333085366

    Phone: (954) 529-1667

    Type: Location

  • East Sample Road, North Pompano Beach, Pompano Beach, Broward County, Florida, 33064, United States

    POMPANO BEACH, FL 330643550

    Phone: (754) 800-6301

    Fax: (954) 827-3900

    Type: Location

  • 3031, Northeast 47th Street, Fort Lauderdale, Broward County, Florida, 33308, United States

    FT LAUDERDALE, FL 333085366

    Phone: (954) 529-1667

    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.

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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.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33308)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1568428563.
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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Addiction Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Ft Lauderdale, Florida as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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