Provider Demographics
NPI:1568450450
Name:KNAPP, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:406 N INDIANA AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-2764
Mailing Address - Country:US
Mailing Address - Phone:941-475-3980
Mailing Address - Fax:941-474-3561
Practice Address - Street 1:406 N INDIANA AVE
Practice Address - Street 2:STE 9
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-2764
Practice Address - Country:US
Practice Address - Phone:941-475-3980
Practice Address - Fax:941-474-3561
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME43980207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D54107Medicare UPIN
FL30737Medicare ID - Type Unspecified