Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1477506863

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. ME0067995 (FL). The NPI Number for Unknown Individual is 1477506863

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477506863
Phone
(727) 797-6768
Address
PO BOX 14657
Deactivation Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724640800
Graduation Year
1984 (42 years ago)
PAC ID
0244252393
Group Practice PAC ID
7719909860
Professional Enrollment ID
I20100610001080
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 14657

    CLEARWATER, FL 337664657

    Phone: (727) 797-6768

    Fax: (727) 797-7648

    Type: Mailing

  • 5539, Marine Parkway, New Port Richey, Pasco County, Florida, 34652, United States

    SUITE 9

    NEW PORT RICHEY, FL 346524329

    Phone: (727) 849-5502

    Fax: (727) 849-0926

    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.

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Medicare Enrollment & Revalidation

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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 33766)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1477506863 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Clearwater, Florida for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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