# DK MD, INC.

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

## Provider details

- **NPI number:** 1982101044
- **Authorized official:** DR. DEREK KING MD (PRESIDENT)
- **Authorized official phone:** (786) 774-2246

## Contact information

- **Practice address:** 4302 HOLLYWOOD BLVD \# 267, HOLLYWOOD, FL 33021-6635
- **Practice address phone:** (786) 774-2246
- **Mailing address:** 4302 HOLLYWOOD BLVD \# 267, HOLLYWOOD, FL 33021-6635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME135881 | FL | Yes |

## Other

- **Enumeration date:** 04/06/2018
- **Last updated:** 07/07/2021