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Individual
RUTH M. KING
Active
Individual
RUTH M. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3060
FL
363AM0700X
Medical Physician Assistant
PA3060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014237300
—
FL
05
—
291855200
—
FL
01
—
E4338U
MEDICARE
FL
01
—
Y04Z7
BCBS
FL
Enumeration date
08/31/2006
Last updated
01/24/2022
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