Individual
DR. JOSEPH WALTER KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11645 BISCAYNE BLVD STE 309, NORTH MIAMI, FL 33181-3139
(055) 388-8353
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-1974
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23325
OK
207V00000X
Obstetrics & Gynecology Physician
30492
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME106952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000358883F
—
GA
05
—
009934300
—
FL
05
—
200010040A
—
OK
Enumeration date
03/31/2006
Last updated
09/13/2019
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