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Individual

JOSEPH M KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
PO BOX 11349, DAYTONA BEACH, FL 32120-1349
(386) 274-7800
(386) 274-7801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME106833
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116019401
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148PN
BLUE CROSS
FL
05
800703677A
GA
Enumeration date
06/17/2008
Last updated
11/03/2010
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