Unknown Individual – Nephrology Physician, NPI 1013181650

Unknown Individual is a healthcare provider. based in Leesburg, Florida. specializing in Nephrology Physician. They hold a License No. ME00064748 (FL). The NPI Number for Unknown Individual is 1013181650

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013181650
Phone
(352) 383-1245
Address
611 W DIXIE AVE
Deactivation Date
19 February 2025
Data current as of
20 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

  • Dixie Avenue, Leesburg, Lake County, Florida, 32748, United States

    LEESBURG, FL 347482602

    Phone: (352) 383-1245

    Mailing address matches the actual address.

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 34748)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1013181650.
What should I verify if Unknown Individual is listed inactive?
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 Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Leesburg, Florida?
If you are local to Leesburg, Florida, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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