Organization
DEEN G KING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEN GRAY KING MD (OWNER)
(813) 877-5300
Entity
Organization
Contact information
Practice address
508 S HABANA AVE, SUITE 100, TAMPA, FL 33609-4181
(813) 877-5300
(813) 877-6535
Mailing address
508 S HABANA AVE, SUITE 100, TAMPA, FL 33609-4181
(813) 877-5300
(813) 877-6535
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046881900
—
FL
Enumeration date
05/23/2007
Last updated
12/21/2011
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