Unknown Individual – Community/Behavioral Health Agency, NPI 1902886781

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Community/Behavioral Health Agency. They hold a License No. MH5580 (FL). The NPI Number for Unknown Individual is 1902886781

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902886781
Phone
(407) 291-8009
Address
3544 EDGEWATER DR
Deactivation Date
10 January 2025
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

  • 3544, Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States

    ORLANDO, FL 328042922

    Phone: (407) 291-8009

    Fax: (407) 770-5503

    Type: Location

  • Box Lunch, East Central Parkway, Altamonte Springs, Seminole County, Florida, 32701, United States

    ALTAMONTE SPRINGS, FL 327161585

    Phone: (407) 291-8009

    Fax: (407) 770-5503

    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.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 32804)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1902886781 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Orlando, Florida in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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