Individual
TATIANA KNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 INTRACOASTAL POINTE DR, SUITE 100, JUPITER, FL 33477-5036
(561) 575-3050
(561) 575-3153
Mailing address
108 INTRACOASTAL POINTE DR, SUITE 100, JUPITER, FL 33477-5036
(561) 575-3050
(561) 575-3153
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME80480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4486A
MEDICARE PTAN
FL
Enumeration date
08/04/2006
Last updated
01/30/2013
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