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Organization
KING'S MEDICAL LLC
Active
Organization
KING'S MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS D'ALTO (CEO/COO)
(908) 577-8380
Entity
Organization
Contact information
Practice address
6945 CARLISLE CT, NAPLES, FL 34109-6883
(908) 577-8380
Mailing address
2610 MARSHCREEK LN APT 102, NAPLES, FL 34119-7949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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