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Individual

DR. CHRISTOPHER BURNETTE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4400 W TENNESSEE ST, TALLAHASSEE, FL 32304-1029
(850) 574-6113
Mailing address
518 VINNEDGE RIDE, TALLAHASSEE, FL 32303-5142
(850) 556-3290
(850) 893-9987

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1845
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078311100
FL
Enumeration date
10/20/2005
Last updated
12/14/2016
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