DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAMELA ROSE KNICKERBOCKER, D.O.

Active

DR. PAMELA ROSE KNICKERBOCKER, D.O. is a Family Medicine healthcare provider located in AVON PARK, Florida. NPI 1164561353 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · AVON PARK, FL

Registration Details

NPI Number
1164561353
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2007 (19.375846740906 yrs)
Last Updated
Feb 16, 2023
Licenses
A2012777 (CA)
OS19486 (FL)
4409 (OK)

Practice Information

Address
1006 W PLEASANT ST
AVON PARK, FL, 338252966
Browse FL providers · Browse ZIP 33825
Phone
8634533121
Fax
8634522823
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in AVON PARK, FL

Name Credential NPI
BETSY E WOOD DO 1679566251
DR. JULIA LYN FASHNER MD 1841256674
ARLEEN ANN LALLY D.O. 1215980172
SUNAINA KHURANA MD 1952357816
KEVIN M SHERIN MD MPH 1215953641
DR. RICHARD PATERSON MORSE SR. M.D. 1932273778
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.