Provider Information for 1245551373
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DEBRA M MCKNIGHT
Other Names:Former Name:DEBRA MCKEOWNSex: Female
NPI: 1245551373
Last Updated: 2016-06-22
Certification Date:
Certification Date:
Details
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NPI | 1245551373 | ||||||||||||||||
Enumeration Date | 2010-06-11 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 39820 US HIGHWAY 19 N LOT 18 TARPON SPRINGS, FL 34689-8347 United States Phone: 585-520-5689 | Fax: | ||||||||||||||||
Primary Practice Address | 4800 ROWAN RD NEW PORT RICHEY, FL 34653-5609 United States Phone: 727-847-0069 | Fax:727-849-3780 | ||||||||||||||||
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