Individual
CALEB RYAN KING
Active
Individual
CALEB RYAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
MD477897
PA
2086X0206X
Surgical Oncology Physician
Primary
ME164092
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN25561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119141200
—
FL
Enumeration date
07/19/2017
Last updated
08/29/2023
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