King, Caleb Ryan

King, Caleb Ryan is an individual health care provider with primary practice located at 210 Rinehart Rd , Lake Mary FL 32746-2514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. King, Caleb Ryan can be contacted via phone (321) 843-2100.

Contact Information

Primary practice address
210 Rinehart Rd Lake Mary FL 32746-2514
Phone: (321) 843-2100
Fax: (321) 842-3498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD477897 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN25561 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME164092 Florida

Profile Details

NPI number 1780107987
LBN Legal business name King, Caleb Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Aug 29th, 2023 - 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 1780107987 NPPES
Florida MEDICAID 119141200

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