King, Renee Putman

King, Renee Putman is an individual health care provider with primary practice located at 1737 W North A St , Tampa FL 33606-1633. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. King, Renee Putman can be contacted via phone (813) 924-0348.

Contact Information

Primary practice address
1737 W North A St Tampa FL 33606-1633
Phone: (813) 924-0348
Fax: (813) 793-4675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5168 Florida

Profile Details

NPI number 1376690990
LBN Legal business name King, Renee Putman
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 23rd, 2014 - about 10 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 1376690990 NPPES
Florida MEDICAID 889987800

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