Unknown Individual – Occupational Medicine Physician, NPI 1912911975

Unknown Individual is a healthcare provider. based in Ocala, Florida. specializing in Occupational Medicine Physician. They hold a License No. ME49250 (FL). The NPI Number for Unknown Individual is 1912911975

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912911975
Phone
(352) 629-3433
Address
1109 SW 10TH ST
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523513413
Graduation Year
1967 (59 years ago)
PAC ID
8224050554
Group Practice PAC ID
8628116464
Professional Enrollment ID
I20051229000478
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

  • 1109, Southwest 10th Street, Ocala, Marion County, Florida, 34471, United States

    OCALA, FL 344742725

    Phone: (352) 629-3433

    Type: Mailing

  • 312, South Lake Street, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 347485934

    Phone: (352) 314-9300

    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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7349$0
72100X-ray of lower and sacral spine, 2-3 views5049$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
72050X-ray of upper spine, 4-5 views2929$0
72070X-ray of middle spine, 2 views1716$0
View full utilization report →

Insurance plans in this area (ZIP 34474)

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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: 8628116464View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
Physical Medicine And Rehabilitation, Interventional Pain ManagementFL
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL
Pain Management, Physical Medicine And Rehabilitation, Preventive Medicine, Chiropractic, Interventional RadiologyFL
-FL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1912911975 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Occupational Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Ocala, Florida may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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