Unknown Individual – Family Nurse Practitioner, NPI 1053387548

Unknown Individual is a healthcare provider. based in Tyndall afb, Florida. specializing in Family Nurse Practitioner. They hold a License No. 1619472 (FL). The NPI Number for Unknown Individual is 1053387548

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053387548
Phone
(850) 283-7501
Address
340 MAGNOLIA CIRCLE
Deactivation Date
21 July 2022
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

  • 325th Medical Group, 340, Magnolia Circle, Bay County, Florida, 32403, United States

    325 MEDICAL GROUP/SGOMF

    TYNDALL AFB, FL 324035300

    Phone: (850) 283-7501

    Type: Location

  • 3121, Meadow Street, The Hammocks, Lynn Haven, Bay County, Florida, 32444, United States

    LYNN HAVEN, FL 324445636

    Phone: (850) 283-7501

    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.

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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 32403)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1053387548?
NPI 1053387548 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tyndall Afb?
Unknown Individual currently maps to Tyndall Afb, Florida in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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