Unknown Individual – Family Medicine Physician, NPI 1346293222

Unknown Individual is a healthcare provider. based in Temple terrace, Florida. specializing in Family Medicine Physician. They hold a License No. ME27412 (FL). The NPI Number for Unknown Individual is 1346293222

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346293222
Phone
(813) 871-8183
Address
12470 Telecom Dr Ste 300W
Deactivation Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8637736606
Graduation Year
1968 (58 years ago)
PAC ID
2961465984
Group Practice PAC ID
0749232445
Professional Enrollment ID
I20041110000246
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 12470 Telecom Dr Ste 300W

    Temple Terrace, FL 336370904

    Phone: (813) 871-8183

    Type: Location

  • 1006, West Pleasant Street, Avon Park, Highlands County, Florida, 33825, United States

    AVON PARK, FL 338252966

    Phone: (863) 453-3121

    Fax: (863) 452-2823

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Exact Sciences Corporation ($38).

Total Amount

$208

General + Research + Ownership

Payments

10

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes474176$0
99213Established patient office or other outpatient visit, 20-29 minutes9180$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8074$0
99315Nursing facility discharge day management, 30 minutes or less6261$0
99214Established patient office or other outpatient visit, 30-39 minutes5547$0
View full utilization report →

Insurance plans in this area (ZIP 33637)

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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: 0749232445View full group profile
NameSpecialtyState
-FL
-FL
-FL
Physician AssistantFL
-FL
General SurgeryNJ
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
O T O L A R Y N G O L O G YFL
Vascular SurgeryFL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1346293222 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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Temple Terrace, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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