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NPI Code Detail

MEDICARE: JAMES MATTHEW KNIGHT MD

MEDICARE:   JAMES MATTHEW KNIGHT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207NS0135XProcedural Dermatology PhysicianME89879FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AH715 PTANOTHERFLPTAN AH715

General Provider Information

NPI Number : 1194727586
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MATTHEW KNIGHT MD
Provider Business Mailing Address
First Line : 801 N ORANGE AVE
Second Line : SUITE 520
City : ORLANDO
State : FL
Zip : 32801-1026
Country : US
Telephone Number : 407-992-0660
Fax Number : 407-992-7702
Provider Business Practice Location Address
First Line : 801 N ORANGE AVE
Second Line : SUITE 520
City : ORLANDO
State : FL
Zip : 32801-1026
Country : US
Telephone Number : 407-992-0660
Fax Number : 407-992-7702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/17/2013

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Directions to “ JAMES MATTHEW KNIGHT MD” Practice Location

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