Organization
GLENN KNOX MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN KNOX MD (PRESIDENT)
(904) 292-9777
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD, #516, JACKSONVILLE, FL 32223-8628
(904) 292-9777
(904) 292-1313
Mailing address
12276 SAN JOSE BLVD, #516, JACKSONVILLE, FL 32223-8628
(904) 292-9777
(904) 292-1313
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME75455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE18010
RAILROAD MEDICARE
FL
Enumeration date
07/16/2006
Last updated
09/15/2010
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