Unknown Individual – Family Medicine Physician, NPI 1346335452

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Family Medicine Physician. They hold a License No. ME51025 (FL). The NPI Number for Unknown Individual is 1346335452

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346335452
Phone
(850) 645-1539
Address
1115 W CALL ST FSU COLLEGE OF MEDICINE
Deactivation Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8506441543
Graduation Year
1986 (40 years ago)
PAC ID
1052224607
Group Practice PAC ID
3971608993
Professional Enrollment ID
I20031110000414
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

  • 1115 W CALL ST FSU COLLEGE OF MEDICINE

    TALLAHASSEE, FL 323064300

    Phone: (850) 645-1539

    Fax: (850) 644-9399

    Type: Mailing

  • 2911 ROBERTS AVE

    TALLAHASSEE, FL 323105007

    Phone: (850) 645-1539

    Fax: (855) 230-7421

    Type: Mailing

  • FSU PrimaryHealth, 2911, Roberts Avenue, Tallahassee, Leon County, Florida, 32310, United States

    2911 ROBERTS AVE

    TALLAHASSEE, FL 323103231

    Phone: (850) 644-1543

    Fax: (855) 230-7421

    Type: Location

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 32306)

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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: 3971608993View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerFL
Family Practice, Geriatric MedicineGA
Family PracticeFL
-FL
Nurse PractitionerFL
Family PracticeFL
-FL
Internal Medicine, Geriatric MedicineFL
Family PracticeFL

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 1346335452.
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.
Does Unknown Individual list a practice location?
Patients near Tallahassee, Florida may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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