Provider Demographics
NPI:1689667990
Name:KNAUS, GABRIELE PAULA (MD)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:PAULA
Last Name:KNAUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4492 THORNWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6304
Mailing Address - Country:US
Mailing Address - Phone:561-762-7028
Mailing Address - Fax:561-840-1769
Practice Address - Street 1:3900 WOODLAKE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3010
Practice Address - Country:US
Practice Address - Phone:561-762-7028
Practice Address - Fax:561-840-1769
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL080163013OtherMEDICARE RAILROAD
FL263100100Medicaid
FL004963OtherNEIGHBORHOOD HEALTH
NY1529766OtherGHI
FL23363OtherBUE CROSS BLUE SHIELD
E96179Medicare UPIN
FL004963OtherNEIGHBORHOOD HEALTH