Provider Demographics
NPI:1982655353
Name:KNOTT, STUART A (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:A
Last Name:KNOTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17346 ANTIGUA POINT WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1005
Mailing Address - Country:US
Mailing Address - Phone:561-542-6442
Mailing Address - Fax:561-807-7721
Practice Address - Street 1:17346 ANTIGUA POINT WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1005
Practice Address - Country:US
Practice Address - Phone:561-542-6442
Practice Address - Fax:561-807-7721
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME65179207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42789BMedicare PIN