Unknown Individual – Hematology (Internal Medicine) Physician, NPI 1225030620

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Hematology (Internal Medicine) Physician. They hold a License No. ME21517 (FL). The NPI Number for Unknown Individual is 1225030620

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225030620
Phone
(727) 821-8194
Address
1201 5TH AVE N
Deactivation Date
19 December 2024
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

  • Professional Office Building, 1201, 5th Avenue North, Methodist Town, Saint Petersburg, Pinellas County, Florida, 33710, United States

    SUITE 505

    ST PETERSBURG, FL 337051455

    Phone: (727) 821-8194

    Fax: (727) 502-8861

    Type: Mailing

  • 303, Pinellas Street, Clearwater, Pinellas County, Florida, 33756, United States

    SUITE 330

    CLEARWATER, FL 337563809

    Phone: (727) 447-8100

    Fax: (727) 461-2603

    Type: Location

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 33705)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1225030620 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Does inactive mean outdated data for Unknown Individual?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.
How should patients interpret Unknown Individual's specialty?
The extract shows Hematology (Internal Medicine) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to St Petersburg, Florida?
If you are local to St Petersburg, Florida, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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