Unknown Individual – Family Medicine Physician, NPI 1033114558

Unknown Individual is a healthcare provider. based in Lakeland, Florida. specializing in Family Medicine Physician. They hold a License No. ME29889 (FL). The NPI Number for Unknown Individual is 1033114558

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033114558
Phone
(863) 284-6800
Address
130 PABLO ST
Deactivation Date
23 January 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

Loading map...

Provider Addresses for Unknown Individual

  • Pablo Street, Lakeland, Polk County, Florida, 33803, United States

    LAKELAND, FL 338033818

    Phone: (863) 284-6800

    Type: Mailing

  • Lakeland Regional Health, 4710, South Florida Avenue, Lakeland, Polk County, Florida, 33813, United States

    LAKELAND, FL 338132190

    Phone: (863) 284-6800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33803)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1033114558.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Lakeland, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

WATSON CLINIC LLP

Internal Medicine Physician
Lakeland Hills Boulevard, Lakeland, Polk County, Florida, United States
NPI: 1316940695

Unknown Individual

Family Medicine Physician
Highland Park Boulevard, Fountain Heights, Lakeland, Polk County, Florida, 33813, United States
NPI: 1528060894

VINKICA VUCEMILOVIC (MD)

Family Medicine Physician
The Box, Beezon Road, Mintsfeet, Kendal, South Lakeland, Cumbria, North West England, England, LA9 6EL, United Kingdom
NPI: 1801890868

ALVARO JOSE JARQUIN (M.D.)

Family Medicine Physician
4404, South Florida Avenue, Fountain Heights, Lakeland, Polk County, Florida, 33813, United States
NPI: 1275538894

DR. LUIS CLYDE FAVILLI (MD)

Family Medicine Physician
25, North Lanier Avenue, Fort Meade, Polk County, Florida, 33841, United States
NPI: 1013912625

DR. YOUSSEF B GHALY (M.D.)

Family Medicine Physician
ST LUKES REGIONAL HEALTH CARE PLC
NPI: 1770580334

MR. JULIJE VUCEMILOVIC (MD)

Family Medicine Physician
The Box, Beezon Road, Mintsfeet, Kendal, South Lakeland, Cumbria, North West England, England, LA9 6EL, United Kingdom
NPI: 1053318329

DR. ROXANN CASTELLI COOK (D.O.)

Family Medicine Physician
2803 MERIDIAN POINT LANE
NPI: 1427055318