Unknown Individual – Otolaryngology Physician, NPI 1245242247

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Otolaryngology Physician. They hold a License No. ME0013441 (FL). The NPI Number for Unknown Individual is 1245242247

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245242247
Phone
(850) 877-0101
Address
1405 CENTERVILLE RD
Deactivation Date
20 February 2025
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 (POB), 1405, Centerville Road, Tallahassee, Leon County, Florida, 323089, United States

    SUITE 5400

    TALLAHASSEE, FL 323084655

    Phone: (850) 877-0101

    Fax: (850) 877-2750

    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 32308)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1245242247.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Tallahassee, Florida because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1245242247. Always confirm identity and privileges with the practice and licensing boards.

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