Unknown Individual – Addiction Medicine (Preventive Medicine) Physician, NPI 1831784180

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Addiction Medicine (Preventive Medicine) Physician. The NPI Number for Unknown Individual is 1831784180

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1831784180
Phone
(561) 235-7666
Address
5030 CHAMPION BLVD STE G11-535
Deactivation Date
8 April 2026

Contacts

Other Endpoint
www.SimplePractice.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 5030 CHAMPION BLVD STE G11-535

    BOCA RATON, FL 334962473

    Phone: (561) 235-7666

    Fax: (561) 948-0989

    Type: Mailing

  • 241 SE 1ST ST

    BELLE GLADE, FL 334303501

    Phone: (561) 464-5500

    Fax: (561) 464-5501

    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 33496)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1831784180 — the number used across U.S. healthcare to identify this provider.
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 Addiction Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Boca Raton, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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