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NPI Code Detail

MEDICARE: CYNTHIA MICHEL KNOWLES DO PA

MEDICARE: CYNTHIA MICHEL KNOWLES DO PA
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
1207R00000XInternal Medicine PhysicianOS 7539FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10402112OTHERUNITED HEALTH CARE
21885601012OTHERCIGNA
3232536OTHERSTAYWELL
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5279822OTHERAVMED
644486OTHERBLUECROSS AND BLUESHIELD
75537600OTHERAETNA
8116005OTHERFLAMERIGROUP
939846OTHERNHP
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083623276
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYNTHIA MICHEL KNOWLES DO PA
Provider Business Mailing Address
First Line : 150 N UNIVERSITY DR
Second Line : SUITE 210
City : PLANTATION
State : FL
Zip : 33324-2004
Country : US
Telephone Number : 954-382-5208
Fax Number : 954-382-5338
Provider Business Practice Location Address
First Line : 150 N UNIVERSITY DR
Second Line : SUITE 210
City : PLANTATION
State : FL
Zip : 33324-2004
Country : US
Telephone Number : 954-382-5208
Fax Number : 954-382-5338
Authorized Official
Title or Position : PRESIDENT
Name : DR. CYNTHIA MICHEL KNOWLES
Credential : DO
Telephone Number : 954-382-5208
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/15/2008

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Directions to “CYNTHIA MICHEL KNOWLES DO PA ” Practice Location

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