Unknown Individual – Surgery Physician, NPI 1972598563

Unknown Individual is a healthcare provider. based in Lake worth, Florida. specializing in Surgery Physician. They hold a License No. ME 50718 (FL). The NPI Number for Unknown Individual is 1972598563

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972598563
Phone
(561) 964-2211
Address
4665 S CONGRESS AVE
Deactivation Date
9 August 2023
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

Provider Addresses for Unknown Individual

  • 4665 S CONGRESS AVE

    100

    LAKE WORTH, FL 334614754

    Phone: (561) 964-2211

    Fax: (561) 439-8655

    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 33461)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1972598563.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Lake Worth, Florida?
If you are local to Lake Worth, Florida, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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