Unknown Individual – Surgery Physician, NPI 1881779593

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Surgery Physician. They hold a License No. MD432617 (PA). The NPI Number for Unknown Individual is 1881779593

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881779593
Phone
(813) 961-1677
Address
13901 WOLCOTT DR
Deactivation Date
19 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 13901 WOLCOTT DR

    TAMPA, FL 336242550

    Phone: (813) 961-1677

    Type: Mailing

  • 145, South Technology Parkway Northwest, Peachtree Corners, Gwinnett County, Georgia, 30092, United States

    MEDICAL DOCTOR ASSOCIATES

    NORCROSS, GA 30092

    Phone: (770) 590-5229

    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.

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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 33624)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1881779593 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Tampa, Florida as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.