Healthcare Provider Details

I. General information

NPI: 1922599562
Provider Name (Legal Business Name): CHELSEY LAURENE KNAPPER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 POINTE WEST BLVD
BRADENTON FL
34209-5531
US

IV. Provider business mailing address

PO BOX 11407
BIRMINGHAM AL
35246-3035
US

V. Phone/Fax

Practice location:
  • Phone: 941-792-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOS20248
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: