Individual provider · Type 1 NPI
Loretha King, DO
General Practice Physician · Daytona Beach, FL
NPI number
1578699351
Active
Practice location
143 Executive Cir
Daytona Beach, FL 32114-1180
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | OS8310 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1578699351
Loretha King, DO's National Provider Identifier is 1578699351, issued on Feb 26, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 13, 2020.