Unknown Individual – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1124019724

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Hospice and Palliative Medicine (Internal Medicine) Physician. They hold a License No. ME44600 (FL). The NPI Number for Unknown Individual is 1124019724

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124019724
Phone
(727) 820-7778
Address
2191 9TH AVE N STE 110
Deactivation Date
15 November 2022
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

  • 9th Avenue North, Saint Petersburg, Pinellas County, Florida, 33710, United States

    ST PETERSBURG, FL 337137147

    Phone: (727) 820-7778

    Fax: (727) 820-7779

    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 33713)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1124019724 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use St Petersburg, Florida as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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