Individual
MS. LISA ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7301 STONEROCK CIR, ORLANDO, FL 32819-8004
(407) 298-6950
(407) 578-2354
Mailing address
7301 STONEROCK CIR, ORLANDO, FL 32819-8004
(407) 298-6950
(407) 578-2354
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 2547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004694300
—
FL
01
—
PA2547
MEDICAL LICENSE
FL
Enumeration date
04/25/2008
Last updated
11/14/2016
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