Individual
ROBERT LEE KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL BRANCH HEALTH CLINIC, 2104 MASSEY AVENUE,, MAYPORT, FL 32228
(904) 270-4241
Mailing address
12955 CANYON CREEK TRL S, JACKSONVILLE, FL 32246-6652
(904) 992-9095
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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