MEDICARE: MR. JOSEPH ANTHONY KNOLL MSN, ARNP

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	363L00000X	Nurse Practitioner	ARNP9309409	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	Q27GA	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1023418126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH ANTHONY KNOLL MSN, ARNP

Provider Business Mailing Address
First Line	:	8000 S ORANGE AVE STE 210
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-6748
Country	:	US
Telephone Number	:	407-454-1363
Fax Number	:	863-229-2576

Provider Business Practice Location Address
First Line	:	8000 S ORANGE AVE STE 210
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-6748
Country	:	US
Telephone Number	:	407-454-1363
Fax Number	:	863-229-2576

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

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	04/30/2019

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