Unknown Individual – Otolaryngology Physician, NPI 1649210378

Unknown Individual is a healthcare provider. based in Merritt island, Florida. specializing in Otolaryngology Physician. They hold a License No. OS2571 (FL). The NPI Number for Unknown Individual is 1649210378

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649210378
Phone
(321) 449-8560
Address
200 CADIZ CT
Deactivation Date
7 June 2023
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

  • 200 CADIZ CT

    MERRITT ISLAND, FL 329532932

    Phone: (321) 449-8560

    Type: Mailing

  • 2900, Veterans Way, Viera, Brevard County, Florida, United States

    VIERA, FL 329408007

    Phone: (321) 637-3788

    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.

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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 ·

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 32953)

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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 1649210378 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Merritt Island?
Unknown Individual currently maps to Merritt Island, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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