Unknown Individual – Emergency Medicine Physician, NPI 1790889277

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in Emergency Medicine Physician. They hold a License No. ME42430 (FL). The NPI Number for Unknown Individual is 1790889277

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790889277
Phone
(352) 338-2195
Address
PO BOX 100371
Deactivation Date
24 September 2021
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

  • PO BOX 100371

    GAINESVILLE, FL 326100371

    Phone: (352) 338-2195

    Fax: (352) 265-0627

    Type: Mailing

  • Shands Starke Regional Medical Center, 922, East Call Street, Starke, Bradford County, Florida, 32091, United States

    STARKE, FL 320913616

    Phone: (904) 368-2300

    Fax: (904) 368-2306

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 32610)

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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 1790889277; it appears in the national provider directory.
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 Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Gainesville, Florida for Unknown Individual based on available NPPES addresses.
What if Gainesville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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