Individual
CHARLES RICHARD KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4343 W NEWBERRY RD, STE 16, GAINESVILLE, FL 32607-2817
(352) 333-0334
(352) 333-0337
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 373-6338
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME21794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271864200
—
FL
01
—
ME 21794
MEDICAL LICENSE
FL
Enumeration date
03/17/2006
Last updated
03/22/2012
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