MEDICARE: RONALD CHARLES KNIPE MD

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	ME0065539	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	K2836	OTHER	FL	MEDICARE GRP #
4	070006771	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23968	OTHER	FL	BLUE CROSS BL/SLD IND #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	45910	OTHER	FL	BCBSHLD GRP #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770585754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD CHARLES KNIPE MD

Provider Business Mailing Address
First Line	:	70 W GORE ST
Second Line	:	SUITE 200A
City	:	ORLANDO
State	:	FL
Zip	:	32806-1124
Country	:	US
Telephone Number	:	407-581-2888
Fax Number	:	407-481-0073

Provider Business Practice Location Address
First Line	:	70 W GORE ST
Second Line	:	SUITE 200A
City	:	ORLANDO
State	:	FL
Zip	:	32806-1124
Country	:	US
Telephone Number	:	407-581-2888
Fax Number	:	407-481-0073

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	02/04/2026

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Directions to “ RONALD CHARLES KNIPE MD” Practice Location

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