# SYLLETTE KING MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265545933
- **Authorized official:** SYLLETTE KING MD (QWNER)
- **Authorized official phone:** (407) 282-8776

## Contact information

- **Practice address:** 506 S CHICKASAW TRL, SUITE 100, ORLANDO, FL 32825-7833
- **Practice address phone:** (407) 828-8775
- **Practice address fax:** (407) 282-0886
- **Mailing address:** 506 S CHICKASAW TRL, SUITE 100, ORLANDO, FL 32825-7833
- **Mailing address phone:** (407) 828-8775
- **Mailing address fax:** (407) 282-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME69026 | FL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 02/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 252007900 | — | FL |
