Unknown Individual – Dermatology Physician, NPI 1992777940

Unknown Individual is a healthcare provider. based in Lakeland, Florida. specializing in Dermatology Physician. They hold a License No. ME51409 (FL). The NPI Number for Unknown Individual is 1992777940

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992777940
Phone
(863) 647-8011
Address
1033 N PARKWAY FRONTAGE RD
Deactivation Date
4 January 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

  • 1033 N PARKWAY FRONTAGE RD

    LAKELAND, FL 33803

    Phone: (863) 647-8011

    Fax: (863) 647-8029

    Type: Location

  • The Box, Beezon Road, Mintsfeet, Kendal, South Lakeland, Cumbria, North West England, England, LA9 6EL, United Kingdom

    LAKELAND, FL 33804

    Phone: (863) 680-7206

    Fax: (863) 680-7420

    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.

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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 33803)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1992777940 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lakeland, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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