Individual
LEISY KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 650-7715
Mailing address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9116690
FL
Other
Enumeration date
10/21/2022
Last updated
01/22/2024
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