Provider Demographics
NPI:1285836718
Name:KNIGHT, COLIN G (MD)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:G
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11760 SW 40TH ST STE 722
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8101
Mailing Address - Country:US
Mailing Address - Phone:305-559-1334
Mailing Address - Fax:305-559-3168
Practice Address - Street 1:2402 FRIST BLVD STE 204
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4838
Practice Address - Country:US
Practice Address - Phone:772-462-3939
Practice Address - Fax:772-462-3938
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME-994022086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery