Deen G King Md Pa

LBN: Deen G King Md Pa
Deen G King Md Pa is an health care organization with primary practice located at 508 S Habana Ave Suite 100, Tampa FL 33609-4181. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Deen G King Md Pa can be contacted via phone (813) 877-5300, or through King, Deen Gray via phone (813) 877-5300.

Contact Information

Primary practice address
508 S Habana Ave Suite 100 Tampa FL 33609-4181
Fax: (813) 877-6535
Website:
Authorized official contact:
Name: King, Deen Gray Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1710197967
LBN Legal business name Deen G King Md Pa
DBA Doing business as
Authorized official King, Deen Gray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Dec 21st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710197967 NPPES
Florida MEDICAID 046881900

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