Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1700845013

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Certified Registered Nurse Anesthetist. They hold a License No. ARNP1812502 (FL). The NPI Number for Unknown Individual is 1700845013

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700845013
Phone
(954) 485-5666
Address
3601 W COMMERCIAL BLVD # 4-5
Deactivation Date
19 December 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

  • West Commercial Boulevard, Fort Lauderdale, Broward County, Florida, 33309, United States

    C/O ANESCO NORTH BROWARD LLC

    FORT LAUDERDALE, FL 333093300

    Phone: (954) 485-5666

    Fax: (954) 484-1651

    Type: Mailing

  • 2351, South Seacrest Boulevard, Boynton Beach, Palm Beach County, Florida, 33435, United States

    BOYNTON BEACH, FL 334356759

    Phone: (561) 732-5900

    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 33309)

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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 1700845013 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Fort Lauderdale?
Unknown Individual currently maps to Fort Lauderdale, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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