FIRST KNIGHT MEDICAL INC – Geriatric Medicine (Internal Medicine) Physician, NPI 1780655647

FIRST KNIGHT MEDICAL INC is a healthcare provider. based in Plant city, Florida. specializing in Geriatric Medicine (Internal Medicine) Physician. The organization holds a License No. ME0068819 (FL). The NPI Number for FIRST KNIGHT MEDICAL INC is 1780655647

Main info

Organization
Name
FIRST KNIGHT MEDICAL INC
NPI
1780655647
Phone
(813) 650-8600
Address
8508 ALAFIA HILLS DR
Authorized Official
DR. LAURENCE MILTON PETTY PRESIDENT/PHYSICIAN M.D.
Enumeration Date
30 January 2006
Last Update Date
10 May 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for FIRST KNIGHT MEDICAL INC

  • 8508 ALAFIA HILLS DR

    PLANT CITY, FL 335673408

    Phone: (813) 650-8600

    Fax: (813) 650-8664

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040525001742OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33567)

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Reviews

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Frequently asked questions

Is there an official ID for FIRST KNIGHT MEDICAL INC in U.S. healthcare records?
The official identifier for FIRST KNIGHT MEDICAL INC is NPI 1780655647.
Is there an active status for FIRST KNIGHT MEDICAL INC?
For scheduling context, FIRST KNIGHT MEDICAL INC is shown as active in the registry.
What area of care is associated with FIRST KNIGHT MEDICAL INC?
FIRST KNIGHT MEDICAL INC's record emphasizes Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is FIRST KNIGHT MEDICAL INC associated with Plant City?
Public fields place FIRST KNIGHT MEDICAL INC around Plant City, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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