Unknown Individual – Cardiovascular Disease Physician, NPI 1902809932

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME43879 (FL). The NPI Number for Unknown Individual is 1902809932

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902809932
Phone
(850) 656-7265
Address
2631 CENTENNIAL BLVD
Deactivation Date
19 October 2022
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

  • 2631, Centennial Boulevard, Regional Center, Saint Peter, Tallahassee, Leon County, Florida, 32308-8405, United States

    SUITE 200

    TALLAHASSEE, FL 323080588

    Phone: (850) 656-7265

    Fax: (850) 702-0245

    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 32308)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1902809932 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Tallahassee, Florida on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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