Unknown Individual – Chiropractor, NPI 1679611883

Unknown Individual is a healthcare provider. based in Panama city, Florida. specializing in Chiropractor. They hold a License No. CH3592 (FL). The NPI Number for Unknown Individual is 1679611883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679611883
Phone
(850) 769-6612
Address
625 W BALDWIN RD
Deactivation Date
18 September 2024
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

  • 625, West Baldwin Road, Panama City, Bay County, Florida, 32405, United States

    SUITE C

    PANAMA CITY, FL 32405

    Phone: (850) 769-6612

    Fax: (850) 769-3533

    Type: Location

  • PO BOX 1568

    LYNN HAVEN, FL 324441568

    Phone: (850) 769-6612

    Fax: (850) 769-3533

    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.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 32405)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1679611883 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Panama City, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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