Unknown Individual – Pediatric Hospice and Palliative Medicine Physician, NPI 1679532717

Unknown Individual is a healthcare provider. based in Temple terrace, Florida. specializing in Pediatric Hospice and Palliative Medicine Physician. They hold a License No. ME118356 (FL). The NPI Number for Unknown Individual is 1679532717

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679532717
Phone
(813) 871-8111
Address
12470 TELECOM DR
Deactivation Date
24 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

  • 12470, Telecom Drive, Temple Terrace, Hillsborough County, Florida, 33637, United States

    SUITE 300 WEST

    TEMPLE TERRACE, FL 336370904

    Phone: (813) 871-8111

    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 33637)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1679532717; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Pediatric Hospice and Palliative Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Temple Terrace, Florida for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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