Unknown Individual – Internal Medicine Physician, NPI 1811053887

Unknown Individual is a healthcare provider. based in Wildwood, Florida. specializing in Internal Medicine Physician. They hold a License No. 266371-1205 (UT). The NPI Number for Unknown Individual is 1811053887

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811053887
Phone
(352) 748-5745
Address
775 HUEY ST
Deactivation Date
3 July 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

  • 775, Huey Street, Brownwood, Wildwood, Sumter County, Florida, 34785, United States

    APARTMENT B15

    WILDWOOD, FL 347854665

    Phone: (352) 748-5745

    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.

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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 34785)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1811053887.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Wildwood?
Unknown Individual currently maps to Wildwood, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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