Individual
CHARLOTTE REBECCA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPD, CCC-SLP
Contact information
Practice address
3711 USF CITRUS DRIVE, TAMPA, FL 33620-0001
(813) 396-0346
Mailing address
3711 USF CITRUS DRIVE, TAMPA, FL 33620-0001
(813) 396-0346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119465800
—
FL
01
—
Y911W
BCBS
FL
Enumeration date
08/10/2023
Last updated
01/05/2026
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