Unknown Individual – Internal Medicine Physician, NPI 1063596047

Unknown Individual is a healthcare provider. based in Zephyrhills, Florida. specializing in Internal Medicine Physician. They hold a License No. ME65298 (FL). The NPI Number for Unknown Individual is 1063596047

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063596047
Phone
(813) 782-1637
Address
38184 MEDICAL CENTER AVE
Deactivation Date
18 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 38184, Medical Center Avenue, Zephyrhills, Pasco County, Florida, 33540, United States

    ZEPHYRHILLS, FL 33540

    Phone: (813) 782-1637

    Fax: (813) 780-9664

    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 33540)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1063596047?
NPI 1063596047 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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Zephyrhills?
Unknown Individual currently maps to Zephyrhills, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.