| Doctor Name: | DR. LORETHA KING |
| NPI Number: | 1578699351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | OS8310 |
| Business Practice Address: | 455 Ne 5th Ave Suite D-297 Delray Beach, FL - 334835658 |
| Business Phone Number: | 7722339515 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9671, Suite D-297 DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321209671 |
| Phone Number: | 3866767130 |
| Fax Number: | 3866767125 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS8310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |