Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1205889755

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 050789 (GA). The NPI Number for Unknown Individual is 1205889755

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205889755
Phone
(850) 877-7886
Address
1405 CENTERVILLE RD
Deactivation Date
12 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Professional Office Building (POB), 1405, Centerville Road, Tallahassee, Leon County, Florida, 323089, United States

    SUITE 5000

    TALLAHASSEE, FL 323084655

    Phone: (850) 877-7886

    Fax: (850) 877-0738

    Type: Location

  • 421, Meridian Place, Tallahassee, Leon County, Florida, 32303, United States

    TALLAHASSEE, FL 323034201

    Phone: (850) 385-0852

    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.

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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 32308)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1205889755 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Tallahassee, Florida?
If you are local to Tallahassee, 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.