Individual
MR. BILLY MACK KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
500 VONDERBURG DR, SUITE 311 WEST, BRANDON, FL 33511-5964
(813) 654-2445
(813) 654-9885
Mailing address
PO BOX 242, BRANDON, FL 33509-0242
(813) 654-2445
(813) 654-9885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3114
FL
Other
Enumeration date
06/29/2006
Last updated
07/09/2007
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