Unknown Individual – Emergency Medicine Physician, NPI 1326144437

Unknown Individual is a healthcare provider. based in Bonifay, Florida. specializing in Emergency Medicine Physician. They hold a License No. ME31086 (FL). The NPI Number for Unknown Individual is 1326144437

Main info

Organization
Inactive
54 Years Of Experience
Name
Unknown Individual
NPI
1326144437
Phone
(850) 263-0701
Address
1020 LILLIE LN
Deactivation Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508925171
Graduation Year
1972 (54 years ago)
PAC ID
2567560444
Group Practice PAC ID
2567365828
Professional Enrollment ID
I20070531000604
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1020 LILLIE LN

    BONIFAY, FL 324253571

    Phone: (850) 263-0701

    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 32425)

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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: 2567365828View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1326144437.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Bonifay, Florida as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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