Individual
ADAM KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 N SYKES CREEK PKWY, MERRITT ISLAND, FL 32953-3492
(321) 452-1061
Mailing address
PO BOX 541216, MERRITT ISLAND, FL 32954-1216
(321) 453-0866
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME140569
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN23577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102986800
—
FL
Enumeration date
06/29/2016
Last updated
08/05/2019
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