Unknown Individual – Primary Care Clinic/Center, NPI 1780194464

Unknown Individual is a healthcare provider. based in Port st lucie, Florida. specializing in Primary Care Clinic/Center. They hold a License No. HCC11066 (FL). The NPI Number for Unknown Individual is 1780194464

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780194464
Phone
(772) 446-4066
Address
9164 S US HIGHWAY 1
Deactivation Date
8 September 2025
Data current as of
20 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

  • 9164 S US HIGHWAY 1

    PORT ST LUCIE, FL 34952

    Phone: (772) 446-4066

    Fax: (772) 333-2949

    Type: Location

  • Forest Hill Boulevard, West Palm Beach, Palm Beach County, Florida, 33406, United States

    WEST PALM BEACH, FL 334155640

    Phone: (561) 433-8900

    Fax: (561) 433-4117

    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.

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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 34952)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1780194464.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Port St Lucie, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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