Provider Demographics
NPI:1942639463
Name:KNOTT, ANN (BA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:KNOTT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 EDGEWATER FALLS DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-1200
Mailing Address - Country:US
Mailing Address - Phone:813-531-1982
Mailing Address - Fax:
Practice Address - Street 1:8800 49TH ST N
Practice Address - Street 2:SUITE 212
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5353
Practice Address - Country:US
Practice Address - Phone:727-564-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator