Unknown Individual – Marriage & Family Therapist, NPI 1730208398

Unknown Individual is a healthcare provider. based in Pembroke pines, Florida. specializing in Marriage & Family Therapist. They hold a License No. MT0001137 (FL). The NPI Number for Unknown Individual is 1730208398

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730208398
Phone
(954) 438-5005
Address
9696 NW 16 CT
Deactivation Date
26 January 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

Provider Addresses for Unknown Individual

  • 9696 NW 16 CT

    PEMBROKE PINES, FL 33024

    Phone: (954) 438-5005

    Type: Mailing

  • 12515 ORANGE DRIVE

    CENTER FOR YOUTH AND FAMILY COUNSELING

    DAVIE, FL 33330

    Phone: (954) 432-7703

    Fax: (954) 475-0175

    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

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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 33024)

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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 1730208398 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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Pembroke Pines?
Unknown Individual currently maps to Pembroke Pines, Florida in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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