Unknown Individual – Otolaryngology Physician, NPI 1376627299

Otolaryngology Physician

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Otolaryngology Physician. They hold a License No. ME0052993 (FL). The NPI Number for Unknown Individual is 1376627299

Main info

Organization

Inactive

43 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1376627299

Phone

(813) 571-7184

Address

SELECT PHYSICIANS ALLIANCE

Deactivation Date

27 December 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8138798045

Graduation Year

1983 (43 years ago)

PAC ID

4587830328

Group Practice PAC ID

9436323516

Professional Enrollment ID

I20111229000231

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

SELECT PHYSICIANS ALLIANCE
10002 PRINCESS PALM AVE. STE 332
TAMPA, FL 336198327
Phone: (813) 571-7184
Fax: (813) 654-4695
Type: Mailing
FLORIDA ENT & ALLERGY
13015 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 335787402
Phone: (813) 879-8045
Fax: (855) 388-5356
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 33619)

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Provider's Procedures

Unknown Individual performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OTOLARYNGOLOGY	FL	95117	Injection of incremental dosages of allergen, 2 or more injections	234	30

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: 9436323516View full group profile

Name	Specialty	State
KATE A ALILIO (DPT)	-	FL
LISA FAITH GAVIN	-	FL
MRS. ELHAUM MCCLAIN (AU.D.)	-	FL
MRS. SOPHIA H ESCOBAR	-	FL
DR. KIRA SULLIVAN (AUD)	-	FL
DR. DEIRDRE COGAN HAMAKER (AU.D.)	-	FL
BARBARA LYNN DROBES (M.S., CCC-A)	-	FL
DR. LEIGH ERIN SMITH (AU.D.)	-	FL
DR. JANET L SEPER (MD)	-	FL
MRS. KARIN ANNE FRANTZ (D.P.T.)	-	FL