Pamela Rose Knickerbocker in Avon Park - Family Medicine
Pamela Rose Knickerbocker - NPI 1164561353
Pamela Rose Knickerbocker is a Family Medicine in Avon Park, Florida. Pamela Rose Knickerbocker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pamela Rose Knickerbocker is 1164561353. The last update date is 2023-02-16.
Pamela Rose Knickerbocker's current location address is 1006 W Pleasant St, Avon Park, Florida. You can contact this provider via phone number 8634533121 and fax number 8634522823. The mailing address for Pamela Rose Knickerbocker is 1006 W Pleasant St, Avon Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Rose Knickerbocker |
|---|---|
| Address | 1006 W Pleasant St, Avon Park, Florida |
| Phone Number | 8634533121 |
| Fax Number | 8634522823 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1164561353 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2023-02-16 |
Provider Mailing Address Detail
| Address | 1006 W Pleasant St |
|---|---|
| City | Avon Park |
| State | Florida (FL) |
| Post Code | 338252966 |
| Phone Number | 8634533121 |
| Fax Number | 8634522823 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A2012777 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200182150A | OK | -- |
Post Comment/ Review Below
What is the Pamela Rose Knickerbocker's 1164561353?
The Pamela Rose Knickerbocker's NPI (National Provider Identifier) Number is 1164561353. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pamela Rose Knickerbocker is physically located?
The Pamela Rose Knickerbocker is situated at the following address: 1006 W Pleasant St, Avon Park, FL 338252966.
What is the area of specialization for Pamela Rose Knickerbocker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pamela Rose Knickerbocker is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164561353 to Pamela Rose Knickerbocker?
The Centers for Medicare & Medicaid Services assigned the 1164561353 to Pamela Rose Knickerbocker on 2007-02-05.
As of what date were the details pertaining to Pamela Rose Knickerbocker last refreshed?
The information related to the Pamela Rose Knickerbocker, including its address, specialty, and other relevant details, was last updated on 2023-02-16.
NPI Number: 1902809924
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