MEDICARE: DR. TIMOTHY E KNIGHT M.D.

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	207N00000X	Dermatology Physician	ME86288	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DG5508	OTHER	FL	RAILROAD MEDICARE
7	P0044110	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1716600	OTHER	FL	AETNA - HMO
2	62853	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2122854621301	OTHER	FL	BEECHSTREET
6	03-00964	OTHER	FL	UHC
8	08166	OTHER	FL	UNIVERSAL
9	11246701	OTHER	FL	CITRUS
10	7988417	OTHER	FL	AETNA - TRADITIONAL

General Provider Information

NPI Number	:	1568536126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY E KNIGHT M.D.

Provider Business Mailing Address
First Line	:	6500 N SOCRUM LOOP RD
Second Line	:	SUITE 100
City	:	LAKELAND
State	:	FL
Zip	:	33809-4179
Country	:	US
Telephone Number	:	863-853-3331
Fax Number	:	863-853-3337

Provider Business Practice Location Address
First Line	:	6500 N SOCRUM LOOP RD
Second Line	:	SUITE 100
City	:	LAKELAND
State	:	FL
Zip	:	33809-4308
Country	:	US
Telephone Number	:	863-853-3331
Fax Number	:	863-853-3337

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/05/2025

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Directions to “ DR. TIMOTHY E KNIGHT M.D.” Practice Location

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