Unknown Individual – Surgical Critical Care Physician, NPI 1700849270

Unknown Individual is a healthcare provider. based in Hudson, Florida. specializing in Surgical Critical Care Physician. They hold a License No. ME82551 (FL). The NPI Number for Unknown Individual is 1700849270

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700849270
Phone
(727) 862-6524
Address
14100 Fivay Rd
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5619970821
Graduation Year
1994 (32 years ago)
PAC ID
0840392882
Group Practice PAC ID
0244269413
Professional Enrollment ID
I20070222000436
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

  • 14100 Fivay Rd

    Suite 280

    Hudson, FL 346677180

    Phone: (727) 862-6524

    Fax: (727) 862-6439

    Type: Location

  • Rollins Street, Orwin Manor, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 303-7283

    Fax: (407) 303-0347

    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.

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 34667)

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Provider's Procedures

Unknown Individual performs procedures in Surgical Critical Care Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)FL36556Insertion of central venous catheter for infusion, patient 5 years or older1717

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: 0244269413View full group profile
NameSpecialtyState
Physician AssistantVT
Internal MedicineNY
Pulmonary Disease, Internal MedicineOK
-SC
-VA
Pulmonary Disease, Critical Care (Intensivists)GA
Internal Medicine, Critical Care (Intensivists)OR
-FL
Internal MedicineFL
-TN

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 1700849270.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Surgical Critical Care 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.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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