Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1316933245

Endocrinology, Diabetes & Metabolism Physician

Unknown Individual is a healthcare provider. based in Lake city, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. ME0013858 (FL). The NPI Number for Unknown Individual is 1316933245

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1316933245

Phone

(386) 752-4711

Address

1297 SW STATE ROAD 47

Deactivation Date

27 March 2024

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

1297, Southwest State Road 47, Lake City, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320250484
Phone: (386) 752-4711
Fax: (386) 752-5075
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.

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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 32025)

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Provider's Procedures

Unknown Individual performs procedures in Endocrinology, Diabetes & Metabolism Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	FL	81002	Urinalysis, manual test	482	215
INTERNAL MEDICINE	FL	82270	Stool analysis for blood to screen for colon tumors	120	120
INTERNAL MEDICINE	FL	93010	Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report	764	579

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1316933245.

What does inactive NPI status mean for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What services align with Unknown Individual's listing?

Unknown Individual's public classification highlights Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Lake City, Florida in the same public data insurers reference.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.