King, Charles Richard
King, Charles Richard is an individual health care provider with primary practice located at 4343 W Newberry Rd Ste 16, Gainesville FL 32607-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. King, Charles Richard can be contacted via phone (352) 333-0334.Contact Information
Primary practice address
4343 W Newberry Rd Ste 16
Gainesville FL 32607-2817
Phone: (352) 333-0334
Fax: (352) 333-0337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME21794 | Florida |
Profile Details
| NPI number | 1851360127 |
|---|---|
| LBN Legal business name | King, Charles Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 22nd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851360127 | NPPES |
| Florida | Other | ME 21794 | MEDICAL LICENSE |
| Florida | MEDICAID | 271864200 | MEDICAL LICENSE |
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