Unknown Individual – Dermatology Physician, NPI 1669454864

Unknown Individual is a healthcare provider. based in Sarasota, Florida. specializing in Dermatology Physician. They hold a License No. LL657 (FL). The NPI Number for Unknown Individual is 1669454864

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669454864
Phone
(941) 556-3220
Address
1900 BROTHER GEENEN WAY
Deactivation Date
1 June 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

  • 1900, Brother Geenen Way, Sarasota, Sarasota County, Florida, 34236, United States

    SENIOR FRIENDSHIP CENTERS

    SARASOTA, FL 34236

    Phone: (941) 556-3220

    Fax: (941) 955-8214

    Mailing address matches the actual address.

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 34236)

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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 1669454864.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Dermatology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Sarasota, 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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