Individual
MRS. STEPHANIE THOMPSON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ANRP#9275339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004339100
—
FL
01
—
ARNP9275339
MEDICAL LICENSE
FL
Enumeration date
03/15/2011
Last updated
11/15/2016
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