Unknown Individual – Infectious Disease Physician, NPI 1053579797

Unknown Individual is a healthcare provider. based in New port richey, Florida. specializing in Infectious Disease Physician. They hold a License No. ME79021 (FL). The NPI Number for Unknown Individual is 1053579797

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053579797
Phone
(727) 669-6800
Address
8607 EASTHAVEN COURT
Deactivation Date
25 September 2023
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

Provider Addresses for Unknown Individual

  • 8607 EASTHAVEN COURT

    SUITE 101

    NEW PORT RICHEY, FL 346555217

    Phone: (727) 669-6800

    Fax: (727) 669-2540

    Type: Location

  • 1840, Mease Drive, Safety Harbor, Palm Harbor, Pinellas County, Florida, 34695, United States

    SUITE 319

    SAFETY HARBOR, FL 346956605

    Phone: (727) 669-6800

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 34655)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1053579797 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Infectious Disease Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near New Port Richey, Florida may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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