Unknown Individual – Cardiovascular Disease Physician, NPI 1093700197

Unknown Individual is a healthcare provider. based in Bradenton, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME11749 (FL). The NPI Number for Unknown Individual is 1093700197

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093700197
Phone
(941) 794-3999
Address
2010 59TH ST W STE 4200
Deactivation Date
26 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9413658532
Graduation Year
1964 (62 years ago)
PAC ID
9234272279
Group Practice PAC ID
4880906106
Professional Enrollment ID
I20100129000761
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

  • 2010 59TH ST W STE 4200

    BRADENTON, FL 342094687

    Phone: (941) 794-3999

    Fax: (794) 792-4048

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 34209)

Loading plans...

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: 4880906106View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1093700197 uniquely identifies Unknown Individual in U.S. healthcare data.
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 Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bradenton, Florida in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

DR. CHRISTIAN ALEXANDER ZELLNER (M.D.)

Cardiovascular Disease Physician
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1972501948

CARDIOLOGY ASSOCIATES OF BRADENTON PA

Cardiovascular Disease Physician
1400, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1154314078

MR. SHERIF Z MEHANNY (MD PHD FACC)

Cardiovascular Disease Physician
6100, Pointe West Boulevard, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1639162159

DR. LAWRENCE CHRISTOPHER HASARA (M.D.)

Cardiovascular Disease Physician
2225, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1124012455

JOSEPH N PACE (MD)

Internal Medicine Physician
6001, 21st Avenue West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1205823838

JOSEPH M BRANCONI (MD)

Cardiovascular Disease Physician
6001, 21st Avenue West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1710974340

HEART & VASCULAR CENTER OF BRADENTON, PLLC

Cardiovascular Disease Physician
6001, 21st Avenue West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1841287497

ROBERT J SUBBIONDO (MD)

Cardiovascular Disease Physician
6001, 21st Avenue West, Bradenton, Manatee County, Florida, 34209, United States
NPI: 1467449017

ENRIQUE RIVERA (MD)

Interventional Cardiology Physician
PO BOX 850001
NPI: 1831186279