Unknown Individual – Surgical Physician Assistant, NPI 1760432413

Unknown Individual is a healthcare provider. based in Temple terrace, Florida. specializing in Surgical Physician Assistant. They hold a License No. PA 9101512 (FL). The NPI Number for Unknown Individual is 1760432413

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760432413
Phone
(813) 978-9700
Address
13020 N TELECOM PKWY
Deactivation Date
29 November 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

  • Telecom Parkway North, Preserve at Fletcher Avenue, Temple Terrace, Hillsborough County, Florida, 33637, United States

    TEMPLE TERRACE, FL 336370925

    Phone: (813) 978-9700

    Fax: (813) 972-5055

    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

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1760432413 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Temple Terrace, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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