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NPI Code Detail

MEDICARE: GREGORY A KNIGHT PA-C

MEDICARE: GREGORY A KNIGHT PA-C
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
1363AM0700XMedical Physician AssistantPA2475FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275518508
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY A KNIGHT PA-C
Provider Business Mailing Address
First Line : 1726 MEDICAL BLVD
Second Line : SUITE 203
City : NAPLES
State : FL
Zip : 34110-1426
Country : US
Telephone Number : 239-598-1250
Fax Number : 239-598-2745
Provider Business Practice Location Address
First Line : 1726 MEDICAL BLVD
Second Line : SUITE 203
City : NAPLES
State : FL
Zip : 34110-1426
Country : US
Telephone Number : 239-598-1250
Fax Number : 239-598-2745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 03/12/2015

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Directions to “ GREGORY A KNIGHT PA-C” Practice Location

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