Individual
DESHAZOR M. KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
823 W CENTRAL BLVD, ORLANDO, FL 32805-1808
(407) 347-7396
Mailing address
16350 BRUCE B DOWNS BLVD, #48522, TAMPA, FL 33646-9001
(813) 638-1073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2013
Last updated
07/06/2013
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