Unknown Individual – Early Intervention Provider Agency, NPI 1790458347

Unknown Individual is a healthcare provider. based in Palm coast, Florida. specializing in Early Intervention Provider Agency. The NPI Number for Unknown Individual is 1790458347

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790458347
Phone
(386) 446-9935
Address
4875 PALM COAST PKWY NW UNIT 2
Deactivation Date
1 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4875 PALM COAST PKWY NW UNIT 2

    PALM COAST, FL 321373671

    Phone: (386) 446-9935

    Fax: (386) 446-7777

    Mailing address matches the actual address.

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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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 32137)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1790458347 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Early Intervention Provider Agency. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Palm Coast, Florida for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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