Doctor Name: | MARIA M KING |
NPI Number: | 1083702476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2801822 |
Business Practice Address: | 595 N Courtenay Pkwy Merritt Island, FL - 329534851 |
Business Phone Number: | 3217848211 |
Business Fax Number: | 3213949425 |
Mailing Address: | 630 S Wickham Rd, Suite 101 WEST MELBOURNE |
State: | FL |
Postal Code: | 329041428 |
Phone Number: | 3219529993 |
Fax Number: | 3219529997 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2801822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |