Unknown Individual – General Practice Physician, NPI 1073954046

General Practice Physician

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in General Practice Physician. They hold a License No. ME50500 (FL). The NPI Number for Unknown Individual is 1073954046

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1073954046

Phone

Not provided

Address

4305 NW 55TH WAY

Deactivation Date

15 November 2022

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

4305 NW 55TH WAY
GAINESVILLE, FL 32606
Phone:
Type: Mailing
7765 COUNTY RD 231
RMC
LAKE BUTLER, FL 32054
Phone: (386) 496-1932
Type: Location

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 32606)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?

You can confirm Unknown Individual with NPI 1073954046; it appears in the national provider directory.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for Unknown Individual?

The page summarizes Gainesville, Florida for Unknown Individual; expand the address list for detail.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.

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