Unknown Individual – Urology Physician, NPI 1790129773

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Urology Physician. They hold a License No. LL682 (FL). The NPI Number for Unknown Individual is 1790129773

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790129773
Phone
(407) 876-6699
Address
4851 S APOPKA VINELAND RD
Deactivation Date
19 June 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

  • 4851 S APOPKA VINELAND RD

    ORLANDO, FL 328193128

    Phone: (407) 876-6699

    Fax: (407) 909-0603

    Type: Mailing

  • 600 N HWY 17/92 STE 124

    LONGWOOD, FL 327503637

    Phone: (407) 876-6699

    Fax: (407) 909-0603

    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 32819)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1790129773 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Orlando, Florida as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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