Individual
ERIC PAUL KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(857) 304-2444
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PA9116420
FL
363A00000X
Physician Assistant
Primary
PA9116420
FL
Other
Enumeration date
01/05/2021
Last updated
07/23/2026
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