Provider Demographics
NPI:1558442913
Name:KNOX, FLORENCE ANGELA (MD)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ANGELA
Last Name:KNOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 SUMMER ST.
Mailing Address - Street 2:SOUTHWEST CT MENTAL HEALTH SYSTEM-F.S. DUBOIS CENTER
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901
Mailing Address - Country:US
Mailing Address - Phone:203-388-1600
Mailing Address - Fax:203-388-1684
Practice Address - Street 1:780 SUMMER ST.
Practice Address - Street 2:SOUTHWEST CT MENTAL HEALTH SYSTEM-F.S. DUBOIS CENTER
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901
Practice Address - Country:US
Practice Address - Phone:203-388-1600
Practice Address - Fax:203-388-1684
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0325432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A62871Medicare UPIN
CT260003364Medicare ID - Type UnspecifiedFIRST COAST MEDICARE