Provider Demographics
NPI:1487527958
Name:CARRELL-KNAPP, J.D., SIMONETTA
Entity type:Individual
Prefix:
First Name:SIMONETTA
Middle Name:
Last Name:CARRELL-KNAPP, J.D.
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:MEDICAL LIEN RESOLUTION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 590074
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32859-0074
Mailing Address - Country:US
Mailing Address - Phone:407-232-7676
Mailing Address - Fax:407-232-7676
Practice Address - Street 1:PO BOX 590074
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32859-0074
Practice Address - Country:US
Practice Address - Phone:407-232-7676
Practice Address - Fax:407-232-7676
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor