| Knizley Endocrine And Diabetic Care, Pa | |
|
6800 Nw 9th Blvd Suite 2 Gainesville FL 32605-4231 | |
| (352) 332-7990 | |
| (352) 332-9894 |
| Full Name | Knizley Endocrine And Diabetic Care, Pa |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 6800 Nw 9th Blvd, Gainesville, Florida |
| Authorized Official Name and Position | Homer Knizley (PRESIDENT) |
| Authorized Official Contact | 3523327990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knizley Endocrine And Diabetic Care, Pa 6800 Nw 9th Blvd Suite 2 Gainesville FL 32605-4231 Ph: (352) 332-7990 | Knizley Endocrine And Diabetic Care, Pa 6800 Nw 9th Blvd Suite 2 Gainesville FL 32605-4231 Ph: (352) 332-7990 |
| NPI Number | 1982743050 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982743050 | NPI | - | NPPES |
| 01801 | Other | FL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME13674 (Florida) | Primary |
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