Organization
ALAMEDA FAMILY PRACTICE FL LLC
Active
Other names
ALAMEDA FAMILY PRACTICE FL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PISETH KNIGHT NP (NP)
(904) 467-5855
Entity
Organization
Contact information
Practice address
12627 SAN JOSE BLVD STE 801, JACKSONVILLE, FL 32223-8644
(904) 467-5855
(505) 387-3937
Mailing address
12627 SAN JOSE BLVD STE 801, JACKSONVILLE, FL 32223-8644
(904) 467-5855
(505) 387-3937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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