Unknown Individual – Orthopaedic Surgery of the Spine Physician, NPI 1083625420

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Orthopaedic Surgery of the Spine Physician. They hold a License No. ME0054576 (FL). The NPI Number for Unknown Individual is 1083625420

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083625420
Phone
(727) 548-4880
Address
4625 EAST BAY DRIVE
Deactivation Date
23 April 2026
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

Provider Addresses for Unknown Individual

  • 4625 EAST BAY DRIVE

    SUITE 222

    CLEARWATER, FL 33764

    Phone: (727) 548-4880

    Fax: (727) 548-4881

    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.

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Medicare Enrollment & Revalidation

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33764)

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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 1083625420; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
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 Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Clearwater, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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