MEDICARE: PETER O 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
1	207R00000X	Internal Medicine Physician	ME08704	FL
2	207RC0000X	Cardiovascular Disease Physician	ME8704	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	29476	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1306874631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER O KNIGHT MD

Provider Business Mailing Address
First Line	:	1 DAVIS BLVD
Second Line	:	STE 507
City	:	TAMPA
State	:	FL
Zip	:	33606-3463
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DAVIS BLVD
Second Line	:	STE 507
City	:	TAMPA
State	:	FL
Zip	:	33606-3463
Country	:	US
Telephone Number	:	813-254-2441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	02/14/2013

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Directions to “ PETER O KNIGHT MD” Practice Location

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