Individual
ANGEL KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
102 5TH AVE, INDIALANTIC, FL 32903-3154
(321) 327-2980
Mailing address
19 BRANDY HILLS DR, PORT ORANGE, FL 32129-3631
(386) 316-0471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9198697
FL
Other
Enumeration date
11/25/2016
Last updated
03/17/2018
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