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Dr. Loretha King, DO
General Practice Physician in Daytona Beach, Florida
NPI 1578699351

Loretha King is a General Practice Physician based in Miami, FL. Loretha King practices in Daytona Beach, FL and has the professional credentials of DO. The NPI Number for Loretha King is 1578699351 and holds a License No. OS8310 (Florida).

The current practice location address for Loretha King is 143 Executive Cir, Daytona Beach, FL and can be reached out via phone at 772-233-9515.

Location: 143 Executive Cir, Daytona Beach, FL, 33126-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578699351
Provider Name
Loretha King
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
143 Executive Cir, Daytona Beach, FL, 33126-2051
Phone Number
772-233-9515
Fax Number
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279101300 05 FL
institution
Provider Business Practice Location Address Details
Address
143 Executive Cir
City
Daytona Beach
State
Florida
Zip
32114-1180
Phone Number
772-233-9515
Fax Number
person
Provider Business Mailing Address Details
Address
143 Executive Cir
City
Daytona Beach
State
Florida
Zip
32114-1180
Phone Number
772-233-9515
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OS8310 (Florida)
Definition
Definition to come...
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