King, Charles Richard

King, Charles Richard is an individual health care provider with primary practice located at 4343 W Newberry Rd Ste 16, Gainesville FL 32607-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. King, Charles Richard can be contacted via phone (352) 333-0334.

Contact Information

Primary practice address
4343 W Newberry Rd Ste 16 Gainesville FL 32607-2817
Phone: (352) 333-0334
Fax: (352) 333-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME21794 Florida

Profile Details

NPI number 1851360127
LBN Legal business name King, Charles Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851360127 NPPES
Florida Other ME 21794 MEDICAL LICENSE
Florida MEDICAID 271864200 MEDICAL LICENSE

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