Unknown Individual – Pediatrics Physician, NPI 1316054109

Unknown Individual is a healthcare provider. based in Panama city, Florida. specializing in Pediatrics Physician. They hold a License No. ME45432 (FL). The NPI Number for Unknown Individual is 1316054109

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316054109
Phone
(850) 763-4104
Address
3520 E 15TH ST
Deactivation Date
1 May 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

  • Operation Spay Bay, 3520, East 15th Street, Panama City, Bay County, Florida, 32404, United States

    PANAMA CITY, FL 324045831

    Phone: (850) 763-4104

    Fax: (850) 784-7706

    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 32404)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1316054109 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Pediatrics Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Panama City, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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