Healthcare Provider Details

I. General information

NPI: 1134443070
Provider Name (Legal Business Name): TONIA I KNIGHT RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 114TH AVE SUITE 301
LARGO FL
33773-5133
US

IV. Provider business mailing address

900 ASHWOOD PKWY SUITE 200
ATLANTA GA
30338-6999
US

V. Phone/Fax

Practice location:
  • Phone: 727-736-7778
  • Fax: 770-392-4771
Mailing address:
  • Phone: 770-399-7337
  • Fax: 770-392-4771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberRT8524
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: