Organization
KNIZLEY ENDOCRINE AND DIABETIC CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMER KNIZLEY JR. M.D. (PRESIDENT)
(352) 332-7990
Entity
Organization
Contact information
Practice address
6800 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4231
(352) 332-7990
(352) 332-9894
Mailing address
6800 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4231
(352) 332-7990
(352) 332-9894
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME13674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01801
BLUE SHIELD
FL
Enumeration date
02/06/2007
Last updated
10/09/2007
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