Female

Ruth M. King PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ruth M. King PA-C

NPI Number

1083725048

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA3060

Contact
Information

Purpose

Mailing
Location

Address

2675 WINKLER AVE FL 2
1201 MONUMENT RD STE 200

City

Fort Myers
Jacksonville

State

FL
FL

Postal Code

33901-9342
32225-7428

Country

US
US

Telephone Number

(877) 856-3774
(904) 727-5151

Identifiers

Identifier

014237300
Y04Z7
E4338U
291855200

Identifier State

FL
FL
FL
FL

Identifier Issuer

Unknown
BCBS
MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/24/2022

Provider Address

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