Unknown Individual – Neurology Physician, NPI 1003896390

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in Neurology Physician. They hold a License No. ME61450 (FL). The NPI Number for Unknown Individual is 1003896390

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003896390
Phone
(352) 374-2222
Address
4343 W NEWBERRY RD
Deactivation Date
24 January 2024
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

  • West Newberry Road, Beville Heights, Gainesville, Alachua County, Florida, 32607, United States

    SUITE 3

    GAINESVILLE, FL 326072817

    Phone: (352) 374-2222

    Fax: (352) 374-8050

    Type: Location

  • 4881, Northwest 8th Avenue, Beville Heights, City of Gainesville Municipal Boundaries, Alachua County, Florida, 32605, United States

    SUITE 2

    GAINESVILLE, FL 326054582

    Phone: (352) 373-6338

    Fax: (352) 373-6144

    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 32607)

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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 1003896390 in the public NPI dataset.
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 Neurology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Gainesville, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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