Unknown Individual – Dermatology Physician, NPI 1952368052

Unknown Individual is a healthcare provider. based in Winter park, Florida. specializing in Dermatology Physician. They hold a License No. ME0019392 (FL). The NPI Number for Unknown Individual is 1952368052

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1952368052
Phone
(407) 645-2300
Address
400 W FAIRBANKS AVE
Deactivation Date
5 August 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

  • 400, Fairbanks Avenue, Winter Park, Orange County, Florida, 32789, United States

    SUITE E

    WINTER PARK, FL 327895084

    Phone: (407) 645-2300

    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.

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 32789)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1952368052 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Winter Park, Florida for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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