Unknown Individual – Emergency Medicine Physician, NPI 1144331364

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Emergency Medicine Physician. They hold a License No. ME35486 (FL). The NPI Number for Unknown Individual is 1144331364

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144331364
Phone
(904) 202-2000
Address
800 PRUDENTIAL DR
Deactivation Date
26 January 2021
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

  • Baptist Medical Center Jacksonville, 800, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States

    BAPTIST MEDICAL CENTER

    JACKSONVILLE, FL 32207

    Phone: (904) 202-2000

    Fax: (904) 346-0864

    Type: Location

  • 3991, Barbara Terrace, Saint Augustine Shores, Saint Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 32086

    Phone: (904) 797-5580

    Fax: (904) 797-5580

    Type: Mailing

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

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 32207)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1144331364 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.