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Organization

DENNIS K KING MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS K KING M.D. (PRESIDENT)
(321) 952-5272
Entity
Organization

Contact information

Practice address
1401 S APOLLO BLVD, SUITE A, MELBOURNE, FL 32901-3179
(321) 952-5272
(321) 952-7262
Mailing address
1401 S APOLLO BLVD, SUITE A, MELBOURNE, FL 32901-3179
(321) 952-5272
(321) 952-7262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME53037
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME53037
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME53037
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME53037
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048718000
FL
01
2900021848
RAILROAD MEDICARE
FL
Enumeration date
12/29/2006
Last updated
05/29/2008
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