Individual
CALEB RYAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 RINEHART RD, LAKE MARY, FL 32746-2514
(321) 843-2100
(321) 842-3498
Mailing address
210 RINEHART RD, LAKE MARY, FL 32746-2514
(321) 843-2100
(321) 842-3498
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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