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Organization
LEONIE KING LLC
Active
Organization
LEONIE KING LLC
Active
Other names
Ponte Vedra Premier Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIE CICELY KING NP (CEO)
(757) 842-0062
Entity
Organization
Contact information
Practice address
90 FORT WADE RD, PONTE VEDRA BEACH, FL 32081-5146
(757) 842-0062
Mailing address
7643 GATE PKWY STE 104, JACKSONVILLE, FL 32256-2893
(757) 842-0062
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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