Unknown Individual – General Practice Physician, NPI 1720091820

Unknown Individual is a healthcare provider. based in Weirsdale, Florida. specializing in General Practice Physician. They hold a License No. ME20974 (FL). The NPI Number for Unknown Individual is 1720091820

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720091820
Phone
(352) 753-2826
Address
3024 MARION COUNTY RD
Deactivation Date
11 January 2023
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

  • Ocala Road, Weirsdale, Marion County, Florida, 32195, United States

    WEIRSDALE, FL 321955168

    Phone: (352) 753-2826

    Fax: (352) 753-6186

    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 32195)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1720091820 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with General Practice Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Weirsdale, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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