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Organization

FIRST KNIGHT MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURENCE MILTON PETTY M.D. (PRESIDENT/PHYSICIAN)
(813) 650-8600
Entity
Organization

Contact information

Practice address
8508 ALAFIA HILLS DR, PLANT CITY, FL 33567-3408
(813) 650-8600
(813) 650-8664
Mailing address
8508 ALAFIA HILLS DR, PLANT CITY, FL 33567-3408
(813) 650-8600
(813) 650-8664

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0068819
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME0068819
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255973100
FL
Enumeration date
01/30/2006
Last updated
05/10/2013
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