Unknown Individual – Emergency Medicine Physician, NPI 1306848668

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Emergency Medicine Physician. They hold a License No. OS0001731 (FL). The NPI Number for Unknown Individual is 1306848668

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306848668
Phone
(800) 476-8646
Address
PO BOX 552205
Deactivation Date
17 April 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

  • 5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States

    TAMPA, FL 336550001

    Phone: (800) 476-8646

    Fax: (919) 382-3210

    Type: Mailing

  • Melbourne Regional Medical Center, 250, North Wickham Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States

    MELBOURNE, FL 329358625

    Phone: (800) 476-8646

    Fax: (919) 382-3210

    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.

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 33655)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1306848668.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Tampa, Florida in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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