Unknown Individual – Licensed Vocational Nurse, NPI 1700079258

Unknown Individual is a healthcare provider. based in Marathon, Florida. specializing in Licensed Vocational Nurse. They hold a License No. PN5166728 (FL). The NPI Number for Unknown Individual is 1700079258

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700079258
Phone
(305) 289-6247
Address
58417 MORTON ST
Deactivation Date
17 January 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

  • 58417, Morton Street, Marathon, Monroe County, Florida, 33050, United States

    MARATHON, FL 330505724

    Phone: (305) 289-6247

    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.

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 33050)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1700079258 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Licensed Vocational Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Marathon, Florida for Unknown Individual; expand the address list for detail.
What if Marathon, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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