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Individual

BEVERLY TERESA CAMPOS KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
460 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-6720
(954) 437-4004
(877) 637-9596
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1243
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN14089
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PB00G
FL BLUE
FL
Enumeration date
09/20/2010
Last updated
03/06/2026
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