Unknown Individual – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1750772323

Unknown Individual is a healthcare provider. based in Ponte vedra beach, Florida. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The NPI Number for Unknown Individual is 1750772323

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750772323
Phone
(904) 551-1394
Address
1030 A1A N
Deactivation Date
8 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1030 A1A N

    PONTE VEDRA BEACH, FL 320824019

    Phone: (904) 551-1394

    Type: Mailing

  • 6100 GREENLAND RD

    SUITE 201

    JACKSONVILLE, FL 32258

    Phone: (904) 342-5965

    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.

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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.

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 32082)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1750772323.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Substance Use Disorder Rehabilitation Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Ponte Vedra Beach, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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