Provider Demographics
NPI:1275834335
Name:KNIGHT, THOMAS WILSON JR (MCAP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:WILSON
Last Name:KNIGHT
Suffix:JR
Gender:M
Credentials:MCAP
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Mailing Address - Street 1:1703 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7000
Mailing Address - Country:US
Mailing Address - Phone:407-398-6668
Mailing Address - Fax:407-398-0834
Practice Address - Street 1:3550 N GOLDENROD RD STE 1
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8823
Practice Address - Country:US
Practice Address - Phone:321-441-1030
Practice Address - Fax:866-926-8124
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLADC-010505-2015101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)