Provider Demographics
NPI:1255327722
Name:KING, ARTHUR DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DANIEL
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2431
Mailing Address - Country:US
Mailing Address - Phone:772-219-0044
Mailing Address - Fax:772-219-0709
Practice Address - Street 1:809 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2431
Practice Address - Country:US
Practice Address - Phone:772-219-0044
Practice Address - Fax:772-219-0709
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069441207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251999200Medicaid
FLDG5451OtherPALMETTO GBA
F85396Medicare UPIN
FLDG5451OtherPALMETTO GBA