Individual
TIFFANI KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 421-2119
Mailing address
PO BOX 861774, ORLANDO, FL 32886-1774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME71361
FL
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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