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Organization

SYLLETTE KING MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYLLETTE KING MD (QWNER)
(407) 282-8776
Entity
Organization

Contact information

Practice address
506 S CHICKASAW TRL, SUITE 100, ORLANDO, FL 32825-7833
(407) 828-8775
(407) 282-0886
Mailing address
506 S CHICKASAW TRL, SUITE 100, ORLANDO, FL 32825-7833
(407) 828-8775
(407) 282-0886

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME69026
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252007900
FL
Enumeration date
08/16/2006
Last updated
02/11/2014
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