Unknown Individual – Surgical Physician Assistant, NPI 1407955958

Unknown Individual is a healthcare provider. based in Bay pines, Florida. specializing in Surgical Physician Assistant. They hold a License No. VETPRO-FL516 (FL). The NPI Number for Unknown Individual is 1407955958

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407955958
Phone
(727) 398-6661
Address
10000 BAY PINES BLVD
Deactivation Date
14 June 2023
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

  • Bay Pines, Pinellas County, Florida, United States

    DEPARTMENT OF VETERAN AFFAIRS

    BAY PINES, FL 33744

    Phone: (727) 398-6661

    Type: Location

  • 8302 40TH PL N

    ST PETERSBURG, FL 337093937

    Phone: (727) 381-0022

    Type: Mailing

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

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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 33744)

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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 1407955958.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Bay Pines, Florida for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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