Unknown Individual – Neurology Physician, NPI 1750317053

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Neurology Physician. They hold a License No. ME76592 (FL). The NPI Number for Unknown Individual is 1750317053

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750317053
Phone
(813) 903-9200
Address
13601 Bruce B Downs Blvd Ste 210
Deactivation Date
27 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8139039200
Graduation Year
1989 (37 years ago)
PAC ID
7416854229
Professional Enrollment ID
I20071012000318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 13601 Bruce B Downs Blvd Ste 210

    Tampa, FL 336134652

    Phone: (813) 903-9200

    Fax: (813) 903-9225

    Type: Location

  • Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336134652

    Phone: (813) 903-9200

    Fax: (813) 903-9225

    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.

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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 33613)

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Provider's Procedures

Unknown Individual performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYFL95819Measurement and recording of brain wave (EEG) activity, awake and asleep7068

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1750317053 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Tampa, Florida on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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