Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT190458 | PA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME112423 | FL |
NPI | 1356501332 |
---|---|
Provider Name | Dr. Joseph John King III |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 28/06/2012 |