| Mary J King Do Pa | |
|
10225 Ulmerton Rd Suite 1a Largo FL 33771-3538 | |
| (727) 585-7408 | |
| (727) 585-3483 |
| Full Name | Mary J King Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10225 Ulmerton Rd, Largo, Florida |
| Authorized Official Name and Position | Sue Shoneck (BILLING MANAGER) |
| Authorized Official Contact | 7275814849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J King Do Pa 10225 Ulmerton Rd 1b Largo FL 33771-3538 Ph: (727) 581-4849 | Mary J King Do Pa 10225 Ulmerton Rd Suite 1a Largo FL 33771-3538 Ph: (727) 585-7408 |
| NPI Number | 1285000125 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 02/28/2017 |
| Medicare PECOS PAC ID | 1557447356 |
|---|---|
| Medicare Enrollment ID | O20080319000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285000125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Mary J King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255338083 PECOS PAC ID: 4789768508 Enrollment ID: I20080303000495 |
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