King, Colleen M

King, Colleen M is an individual health care provider with primary practice located at 201 N Hogan St Ste 100 , Jacksonville FL 32202-4203. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. King, Colleen M can be contacted via phone (904) 356-9431.

Contact Information

Primary practice address
201 N Hogan St Ste 100 Jacksonville FL 32202-4203
Phone: (904) 356-9431
Fax: (904) 356-2969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3718 Florida

Profile Details

NPI number 1629077649
LBN Legal business name King, Colleen M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated May 31st, 2022 - about 3 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 1629077649 NPPES
Other 0135179 GHI
Other 620893200 GHI
Other 45002 GHI
Other 26115561 GHI
Other 7500506 GHI
Other 8700204 GHI

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