Unknown Individual – Community/Behavioral Health Agency, NPI 1629337258

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Community/Behavioral Health Agency. The NPI Number for Unknown Individual is 1629337258

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629337258
Phone
(954) 587-1008
Address
3800 W BROWARD BLVD
Deactivation Date
7 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3800 W BROWARD BLVD

    FORT LAUDERDALE, FL 333121018

    Phone: (954) 587-1008

    Fax: (954) 587-0080

    Type: Mailing

  • 1061 W OAKLAND PARK BLVD

    WILTON MANORS, FL 333111609

    Phone: (954) 792-9242

    Fax: (954) 792-9243

    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 33312)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1629337258.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Fort Lauderdale, Florida. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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