Unknown Individual – Surgical Physician Assistant, NPI 1992962476

Unknown Individual is a healthcare provider. based in Lake mary, Florida. specializing in Surgical Physician Assistant. They hold a License No. PA03548 (TX). The NPI Number for Unknown Individual is 1992962476

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992962476
Phone
(407) 328-0825
Address
PO BOX 953908
Deactivation Date
5 April 2022
Data current as of
20 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

  • PO BOX 953908

    LAKE MARY, FL 327953908

    Phone: (407) 328-0825

    Type: Mailing

  • Northeast Methodist Hospital, 12412, Judson Road, Live Oak, Bexar County, Texas, 78233, United States

    LIVE OAK, TX 782333255

    Phone: (210) 650-4949

    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.

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 32795)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1992962476 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lake Mary, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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