Individual
DR. MATTHEW S KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME116865
FL
Other
Enumeration date
04/28/2009
Last updated
09/05/2013
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