Unknown Individual – Surgical Physician Assistant, NPI 1902853286

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in Surgical Physician Assistant. They hold a License No. 002877 (FL). The NPI Number for Unknown Individual is 1902853286

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902853286
Phone
(352) 331-5989
Address
10026 NW 12TH LN
Deactivation Date
10 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

  • Park Lane, Village of Gainesville, Town of Gainesville, Wyoming County, New York, 14066, United States

    GAINESVILLE, FL 326068017

    Phone: (352) 331-5989

    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 32606)

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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 1902853286.
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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Gainesville?
Unknown Individual currently maps to Gainesville, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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