Unknown Individual – Medical Specialty Clinic/Center, NPI 1104860071

Medical Specialty Clinic/Center

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Medical Specialty Clinic/Center. They hold a License No. ME 63239 (FL). The NPI Number for Unknown Individual is 1104860071

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1104860071

Phone

(813) 968-6000

Address

11734 N DALE MABRY HWY

Deactivation Date

22 March 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

North Dale Mabry Highway, Tampa, Hillsborough County, Florida, 33614, United States
TAMPA, FL 336183504
Phone: (813) 968-6000
Fax: (813) 968-6007
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 33618)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1104860071 uniquely identifies Unknown Individual in U.S. healthcare data.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Medical Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Tampa, Florida. Check all listed addresses for suites or satellite offices.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.