Individual
MR. MICHAEL ROSS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, NBC-HWC
Contact information
Practice address
1315 N ATLANTIC AVE, DAYTONA BEACH, FL 32118-3632
(321) 412-7645
Mailing address
1315 N ATLANTIC AVE, DAYTONA BEACH, FL 32118-3632
(321) 412-7645
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3404531
FL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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