Provider Demographics
NPI:1891958377
Name:KNIGHT, VICTORIA (CPCP, FAAM, COE LME)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:CPCP, FAAM, COE LME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13644 US 441
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491
Mailing Address - Country:US
Mailing Address - Phone:352-224-9945
Mailing Address - Fax:
Practice Address - Street 1:13644 US 441
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-3736
Practice Address - Country:US
Practice Address - Phone:352-224-9945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48-44-1426033246ZA2600X, 246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty