Provider Demographics
NPI:1396774501
Name:KNAUF, HERBERT P III (MD)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:P
Last Name:KNAUF
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2560 GULF TO BAY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-4421
Mailing Address - Country:US
Mailing Address - Phone:727-799-3772
Mailing Address - Fax:727-791-6598
Practice Address - Street 1:2560 GULF TO BAY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-4421
Practice Address - Country:US
Practice Address - Phone:727-799-3772
Practice Address - Fax:727-791-6598
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-05-20
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Provider Licenses
StateLicense IDTaxonomies
FLME72132207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251655100Medicaid
FL251655100Medicaid
G45140Medicare UPIN