Unknown Individual – Neurology with Special Qualifications in Child Neurology Physician, NPI 1003801713

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Neurology with Special Qualifications in Child Neurology Physician. They hold a License No. ME50292 (FL). The NPI Number for Unknown Individual is 1003801713

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003801713
Phone
(727) 532-1355
Address
PO BOX 12868
Deactivation Date
30 August 2025
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 12868

    ST PETERSBURG, FL 337332868

    Phone: (727) 532-1355

    Fax: (727) 266-4928

    Type: Mailing

  • Neuroscience Center, 2201, Central Avenue, Grand Central, Saint Petersburg, Pinellas County, Florida, 33730, United States

    SUITE 200

    ST PETERSBURG, FL 337138844

    Phone: (727) 824-7132

    Fax: (727) 824-7133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $2,326.

Total Amount is formed as General ($2,326) + Research ($0) + Ownership ($0) = $2,326.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: F. Hoffmann-La Roche AG ($2,326).

Total Amount

$2,326

General + Research + Ownership

Payments

2

Total payment records

General Amount

$2,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
F. Hoffmann-La Roche AG$2,326
View all Open Payments →|Open Payments Risk Radar →

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 33733)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1003801713 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to St Petersburg, Florida in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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