Provider Demographics
NPI:1699270470
Name:KNIGHT RODRIGUEZ, KIRA DESIREE ALLISON (MD)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:DESIREE ALLISON
Last Name:KNIGHT RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3923
Mailing Address - Country:US
Mailing Address - Phone:305-387-7211
Mailing Address - Fax:305-382-2708
Practice Address - Street 1:13734 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6020
Practice Address - Country:US
Practice Address - Phone:305-387-7211
Practice Address - Fax:305-382-2708
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME149277208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics