Organization
TELE MED CLINIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KNIGHT (OWNER)
(917) 635-5234
Entity
Organization
Contact information
Practice address
541 N PALMETTO AVE STE 104B, SANFORD, FL 32771-1371
(321) 209-4040
Mailing address
541 N PALMETTO AVE STE 104B, SANFORD, FL 32771-1371
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114165800
—
FL
Enumeration date
04/23/2020
Last updated
05/17/2023
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