King, Dale

King, Dale is an individual health care provider with primary practice located at 4450 W Eau Gallie Blvd , Melbourne FL 32934-7213. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. King, Dale can be contacted via phone (321) 752-3100.

Contact Information

Primary practice address
4450 W Eau Gallie Blvd Melbourne FL 32934-7213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1134369770
LBN Legal business name King, Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2009
Last updated Feb 23rd, 2009 - about 16 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.

Request for update

Popular Providers