Unknown Individual – Family Medicine Physician, NPI 1821071390

Unknown Individual is a healthcare provider. based in Tarpon springs, Florida. specializing in Family Medicine Physician. They hold a License No. ME29083 (FL). The NPI Number for Unknown Individual is 1821071390

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821071390
Phone
(727) 938-6366
Address
312 E TARPON AVE
Deactivation Date
15 June 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

  • 312, East Tarpon Avenue, Santos Isle Apartment Complex, Tarpon Springs, Pinellas County, Florida, 34689, United States

    TARPON SPRINGS, FL 346894320

    Phone: (727) 938-6366

    Fax: (727) 943-2196

    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 34689)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1821071390 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Tarpon Springs?
Public fields place Unknown Individual around Tarpon Springs, Florida. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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