Paul Daniel Knabb


Address: 3955 Riverside Ave, Suite 103, Jacksonville, FL 32205-3312

Paul Daniel Knabb (NPI# 1528317203, PAC ID# 5092952648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1528317203
PAC ID by PECOS 5092952648
Professional Enrollment ID I20130520000154
Full Name Paul Daniel Knabb
Address 3955 Riverside Ave
Suite 103
Jacksonville
FL 32205-3312
Gender M
Medical School TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3955 Riverside Ave, Suite 103, Jacksonville, FL 32205-3312

Organization Information

Office Location

Street Address 3955 RIVERSIDE AVE
SUITE 103
City JACKSONVILLE
State FL
Zip 32205-3312

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Competitor

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City JACKSONVILLE
Zip Code 32205
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty JACKSONVILLE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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