Individual
GINA ELIZABETH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14601 SW 79TH ST, MIAMI, FL 33183-2915
(305) 607-6588
Mailing address
14601 SW 79TH ST, MIAMI, FL 33183-2915
(305) 607-6588
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9413486
FL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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