Unknown Individual – Obstetrics & Gynecology Physician, NPI 1598737785

Unknown Individual is a healthcare provider. based in Hudson, Florida. specializing in Obstetrics & Gynecology Physician. They hold a License No. ME0041790 (FL). The NPI Number for Unknown Individual is 1598737785

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598737785
Phone
(727) 863-5975
Address
12134 Cobblestone Dr
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
1557596384
Professional Enrollment ID
I20131101000230
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

  • 12134 Cobblestone Dr

    Hudson, FL 346672432

    Phone: (727) 863-5975

    Fax: (727) 868-0312

    Type: Location

  • 5321, Grand Boulevard, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346524014

    Phone: (727) 863-5975

    Fax: (727) 863-9167

    Type: Mailing

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

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 34667)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1598737785.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Hudson, Florida in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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