Individual
DR. DEEN G KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3115 W SWANN AVE, TAMPA, FL 33609-4617
(813) 492-2020
(813) 492-2099
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 813-6811
(813) 681-1122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0038743
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
ME38743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046881900
—
FL
01
—
4233973
AETNA
FL
Enumeration date
02/24/2006
Last updated
11/05/2020
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