Individual
MATTHEW BENJAMIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953-1128
(904) 228-2213
Mailing address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953-1128
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9439537
FL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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