Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1396732756

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Certified Registered Nurse Anesthetist. They hold a License No. ARNP9230340 (FL). The NPI Number for Unknown Individual is 1396732756

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396732756
Phone
(352) 867-8898
Address
PO BOX 550307
Deactivation Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137808440
Graduation Year
1980 (46 years ago)
PAC ID
9931168945
Group Practice PAC ID
9931003068
Professional Enrollment ID
I20070412000025
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

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Provider Addresses for Unknown Individual

  • PO BOX 550307

    TAMPA, FL 336550307

    Phone: (352) 867-8898

    Fax: (352) 732-6282

    Type: Mailing

  • AdventHealth Zephyrhills, 7050, Gall Boulevard, Zephyrhills, Pasco County, Florida, 33541, United States

    ZEPHYRHILLS, FL 335411347

    Phone: (352) 867-8898

    Fax: (352) 732-6282

    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.

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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 33655)

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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: 9931003068View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1396732756 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tampa?
Unknown Individual currently maps to Tampa, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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