Unknown Individual – Neurological Surgery Physician, NPI 1780649996

Unknown Individual is a healthcare provider. based in Largo, Florida. specializing in Neurological Surgery Physician. They hold a License No. OS 4884 (FL). The NPI Number for Unknown Individual is 1780649996

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780649996
Phone
(727) 585-0308
Address
503 PALM DR
Deactivation Date
17 July 2024
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

  • 503, Palm Drive, Key Largo, Monroe County, Florida, 33037, United States

    LARGO, FL 337702660

    Phone: (727) 585-0308

    Fax: (727) 588-9598

    Type: Mailing

  • 49th Street North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States

    SUITE 104

    ST PETERSBURG, FL 337092150

    Phone: (727) 528-6100

    Fax: (727) 528-7895

    Type: Location

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 33770)

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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 1780649996 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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Largo, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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