Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Raymond R Knisley, DO

Individual provider Procedural Dermatology Physician · NPI 1932189008

Dr. Raymond R Knisley, DO is a Dermatology in Lake Wales, Florida. Qualified in 2003, 23 years ago. Practices with Mid-Florida Dermatology Associates PA, a 48-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1255 State Road 60 E Ste 100
Lake Wales, FL 33853-4310
Phone: (863) 589-5685
Fax: (863) 589-5639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS12508 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence OS12508 (FL)

Record details

NPI number1932189008
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mid-Florida Dermatology Associates P.A. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount