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Organization
PICARE CSP
Active
Organization
PICARE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVERY J KNAPP JR. MD (PRESIDENT)
(415) 903-2000
Entity
Organization
Contact information
Practice address
245 NE 5TH ST, BOCA RATON, FL 33432-4048
(415) 903-2000
Mailing address
382 NE 191ST ST, PMB 14773, MIAMI, FL 33179-3899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/24/2024
Last updated
02/09/2024
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