King, William Bryan

King, William Bryan is an individual health care provider with primary practice located at 1401 N Lawnwood Cir , Fort Pierce FL 34950-4835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. King, William Bryan can be contacted via phone (772) 465-6484.

Contact Information

Primary practice address
1401 N Lawnwood Cir Fort Pierce FL 34950-4835
Fax: (772) 465-0163
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0039583 Florida
Other Service Providers / Specialist 174400000X 592463341 Florida

Profile Details

NPI number 1851399349
LBN Legal business name King, William Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Mar 21st, 2019 - about 5 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 1851399349 NPPES
Florida MEDICAID 066678500

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