Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME33605 | FL |
NPI | 1083800239 |
---|---|
Provider Name | Dr. Daniel Glen Knauf |
First Address | Gainesville, FL 32641-7516 |
Second Address | Gainesville, FL 32641-7516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 17/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME 33605 | FLORIDA LICENSE (01) | FL |