# KNIZLEY ENDOCRINE AND DIABETIC CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982743050
- **Authorized official:** DR. HOMER KNIZLEY JR. M.D. (PRESIDENT)
- **Authorized official phone:** (352) 332-7990

## Contact information

- **Practice address:** 6800 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4231
- **Practice address phone:** (352) 332-7990
- **Practice address fax:** (352) 332-9894
- **Mailing address:** 6800 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4231
- **Mailing address phone:** (352) 332-7990
- **Mailing address fax:** (352) 332-9894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME13674 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 10/09/2007