Provider Demographics
NPI:1225374382
Name:KNAPICH, JOSEPH
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:KNAPICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 N BAYSHORE DR
Mailing Address - Street 2:APT. 39I
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1132
Mailing Address - Country:US
Mailing Address - Phone:718-926-7954
Mailing Address - Fax:
Practice Address - Street 1:1756 N BAYSHORE DR
Practice Address - Street 2:APT. 39I
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1132
Practice Address - Country:US
Practice Address - Phone:718-926-7954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9307886367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered