Provider Demographics
NPI:1316903578
Name:KNECHT, ADA Y (DOM)
Entity type:Individual
Prefix:DR
First Name:ADA
Middle Name:Y
Last Name:KNECHT
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:14075 SW 72ND CT
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1263
Mailing Address - Country:US
Mailing Address - Phone:305-342-0076
Mailing Address - Fax:305-378-1311
Practice Address - Street 1:195 GIRALDA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5208
Practice Address - Country:US
Practice Address - Phone:305-567-1973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1761171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist