Individual
EBONY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BIANCA DR NE, PALM BAY, FL 32905-5606
(321) 213-5472
Mailing address
720 BIANCA DR NE, PALM BAY, FL 32905-5606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
783512
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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