Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1508838368

Unknown Individual is a healthcare provider. based in Lakeland, Florida. specializing in Clinical Cardiac Electrophysiology Physician. They hold a License No. ME43887 (FL). The NPI Number for Unknown Individual is 1508838368

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508838368
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Deactivation Date
19 February 2026

Contacts

Secure Messaging
kbrowne5222@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Calliditas Therapeutics US Inc. ($101).

Total Amount

$101

General + Research + Ownership

Payments

1

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

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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 33805)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Cardiac Electrophysiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYFL92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1917
CARDIAC ELECTROPHYSIOLOGYFL93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report10166

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1508838368 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
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 Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Lakeland, Florida for Unknown Individual; download NPPES for the complete set.
What if Lakeland, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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