Organization
SONSHINE AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETHA KING D.O. (PHYSICIAN/OWNER)
(772) 308-0900
Entity
Organization
Contact information
Practice address
1405 SE GOLDTREE DR, SUITE # C, PORT ST LUCIE, FL 34952-7563
(772) 380-0900
Mailing address
1405 SE GOLDTREE DR, SUITE # C, PORT ST LUCIE, FL 34952-7563
(772) 380-0900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS8310
FL
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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