=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720967391
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET KNEPPER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2025
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8337 SOUTHPARK CIR
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32819-9049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-541-4914
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10130 WINDERMERE CHASE BLVD
-----------------------------------------------------
City | GOTHA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34734-4707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-761-1277
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28903
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------