Individual
META SUSAN KNOBLAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-5831
Mailing address
8233 CADRE NOIR RD, LAKE WORTH, FL 33467-6703
(704) 576-4009
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11037487
FL
Other
Enumeration date
02/05/2025
Last updated
02/07/2025
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