Unknown Individual – Orthopaedic Surgery Physician, NPI 1922067511

Unknown Individual is a healthcare provider. based in Merritt island, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME93258 (FL). The NPI Number for Unknown Individual is 1922067511

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922067511
Phone
(321) 449-4168
Address
150 N SYKES CREEK PKWY
Deactivation Date
17 July 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

  • 150, North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    STE 300

    MERRITT ISLAND, FL 329533488

    Phone: (321) 449-4168

    Fax: (321) 449-4164

    Type: Mailing

  • Nizhoni Boulevard, Gallup, McKinley County, New Mexico, 87301, United States

    GALLUP, NM 873011337

    Phone: (505) 722-1000

    Fax: (505) 722-1256

    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.

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 32953)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1922067511 on file in the registry.
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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Merritt Island, Florida as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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