Individual
PETER K KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCO, CO
Contact information
Practice address
450 N STATE ROAD 7, PLANTATION, FL 33317-2834
(954) 923-8883
(954) 925-2296
Mailing address
10455 NW 51ST ST, CORAL SPRINGS, FL 33076
(954) 560-1029
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
ORT 121
FL
Other
Enumeration date
10/23/2006
Last updated
12/19/2016
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