Organization
UPPERLINE VEIN & VASCULAR-WEST FLORIDA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KING DPM (PRESIDENT)
(615) 627-2204
Entity
Organization
Contact information
Practice address
2835 W DE LEON ST STE 101, TAMPA, FL 33609-4130
(813) 254-4747
Mailing address
4101 CHARLOTTE AVE STE F185, NASHVILLE, TN 37209-4066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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