Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1104901958

Unknown Individual is a healthcare provider. based in New port richey, Florida. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 38770 (FL). The NPI Number for Unknown Individual is 1104901958

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104901958
Phone
(727) 847-9082
Address
7935 SLATE CT
Deactivation Date
17 June 2021
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

  • 7935 SLATE CT

    NEW PORT RICHEY, FL 346545627

    Phone: (727) 847-9082

    Fax: (727) 861-7670

    Type: Mailing

  • 209, State Street East, Oldsmar, Pinellas County, Florida, 34677, United States

    OLDSMAR, FL 346773654

    Phone: (813) 855-7198

    Fax: (813) 854-2340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

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 34654)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1104901958 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to New Port Richey, Florida?
If you are local to New Port Richey, Florida, Unknown Individual may be relevant to your search.
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.

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