Unknown Individual – Diagnostic Radiology Physician, NPI 1629057922

Unknown Individual is a healthcare provider. based in Milton, Florida. specializing in Diagnostic Radiology Physician. They hold a License No. 17293 (FL). The NPI Number for Unknown Individual is 1629057922

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629057922
Phone
(850) 626-9942
Address
6002 BERRYHILL RD
Deactivation Date
20 July 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

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Provider Addresses for Unknown Individual

  • Santa Rosa Medical Center, 6002, Berryhill Road, Milton, Santa Rosa County, Florida, 32570, United States

    MILTON, FL 32570

    Phone: (850) 626-9942

    Fax: (850) 626-5808

    Type: Location

  • Old Highway 90, Milton, Santa Rosa County, Florida, 32570, United States

    STE D

    MILTON, FL 32570

    Phone: (850) 564-1030

    Fax: (850) 564-1039

    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

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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 32570)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1629057922?
NPI 1629057922 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Milton?
Unknown Individual currently maps to Milton, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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