DR. LORETHA KING DO NPI 1578699351

NPI Information

NPI: 1578699351
Provider Name: DR. LORETHA KING, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
143 EXECUTIVE CIR
DAYTONA BEACH, FL
ZIP 32114
Phone: (772) 233-9515
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DR. Loretha King, DO is a general practice in Daytona Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Loretha King, DO NPI is 1578699351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

143 EXECUTIVE CIR
DAYTONA BEACH, FL
ZIP 32114-180
Phone: (772) 233-9515

The enumeration date for this NPI number is 2/26/2007 and was last updated on 10/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		OS8310	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	279101300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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