Organization
DERMATOLOGY ASSOCIATES OF THE TREASURE COAST P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KING M D (PRESIDENT)
(772) 219-0044
Entity
Organization
Contact information
Practice address
809 SE OSCEOLA ST, STUART, FL 34994-2431
(772) 219-0044
(772) 219-0709
Mailing address
809 SE OSCEOLA ST, STUART, FL 34994-2431
(772) 219-0044
(772) 219-0709
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0069441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255327722
INDIVIDUAL NPI
FL
01
—
DG5451
PALMETTO-GBA
FL
Enumeration date
02/16/2007
Last updated
08/08/2019
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