Unknown Individual – Family Medicine Physician, NPI 1033201066

Unknown Individual is a healthcare provider. based in Oviedo, Florida. specializing in Family Medicine Physician. They hold a License No. OS 9280 (FL). The NPI Number for Unknown Individual is 1033201066

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033201066
Phone
(407) 200-2512
Address
8010 RED BUG LAKE RD
Deactivation Date
7 March 2022

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4072002300
Graduation Year
1983 (43 years ago)
PAC ID
5597716605
Group Practice PAC ID
6406849256
Professional Enrollment ID
I20050207000380
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

  • Dr. Edward Stoner Way, Oviedo, Seminole County, Florida, 32765, United States

    OVIEDO, FL 327658084

    Phone: (407) 200-2512

    Fax: (407) 200-2514

    Type: Location

  • 508, Ridgeway Boulevard, DeLand, Volusia County, Florida, 32724, United States

    DELAND, FL 327248814

    Phone: (386) 956-2465

    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 32765)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test3535

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406849256View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
-FL
Physician AssistantFL
Family PracticeFL
Nurse PractitionerFL
Physician AssistantFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1033201066.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Oviedo, Florida; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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