Individual
DR. DIANNE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 GRUMMAN PL STE B, TITUSVILLE, FL 32780-7927
(321) 269-4240
(321) 269-5428
Mailing address
1250 GRUMMAN PL STE B, TITUSVILLE, FL 32780-7927
(321) 269-4240
(321) 269-5428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110215200
—
FL
01
—
CR085X
MEDICARE
FL
Enumeration date
08/10/2006
Last updated
02/04/2025
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