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KNIZLEY ENDOCRINE AND DIABETIC CARE PA NPI 1982743050


NPI Information

NPI: 1982743050
Provider Name: KNIZLEY ENDOCRINE AND DIABETIC CARE, PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
6800 NW 9TH BLVD
SUITE 2
GAINESVILLE, FL
ZIP 32605
Phone: (352) 332-7990
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KNIZLEY ENDOCRINE AND DIABETIC CARE, PA is an endocrinology and diabetes and metabolism internal medicine in Gainesville, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. KNIZLEY ENDOCRINE AND DIABETIC CARE, PA NPI is 1982743050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6800 NW 9TH BLVD
SUITE 2
GAINESVILLE, FL
ZIP 32605-231
Phone: (352) 332-7990
Fax: (352) 332-9894

The provider's authorized official is Homer Knizley .
The authorized official title is President and has the following contact phone number (352) 332-7990.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME13674FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101801MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2D82300MEDICARE UPINFLORIDA
301801OTHERFLORIDABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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