Unknown Individual – Geriatric Psychiatry Physician, NPI 1831181312

Unknown Individual is a healthcare provider. based in Daytona beach, Florida. specializing in Geriatric Psychiatry Physician. They hold a License No. ME0049696 (FL). The NPI Number for Unknown Individual is 1831181312

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1831181312
Phone
(386) 676-7130
Address
PO BOX 9671
Deactivation Date
7 October 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

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Provider Addresses for Unknown Individual

  • PO BOX 9671

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 1340, Ridgewood Avenue, Holly Hill, Volusia County, Florida, 32117, United States

    HOLLY HILL, FL 321172320

    Phone: (386) 676-7175

    Fax: (386) 676-7134

    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 32120)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1831181312 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
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 Geriatric Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Daytona Beach?
Unknown Individual currently maps to Daytona Beach, 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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