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Individual

DR. ALAN D KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
929 S TAMIAMI TRL, SUITE 101, OSPREY, FL 34229-9240
(941) 917-4700
(941) 917-4710
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS7194
FL
208000000X
Pediatrics Physician
OS7194
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250523100
FL
01
57374
BCBS
FL
Enumeration date
10/28/2005
Last updated
08/25/2017
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