Provider Demographics
NPI:1346269701
Name:KING, TRICIA A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:A
Last Name:KING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TRICAI
Other - Middle Name:D
Other - Last Name:APONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1475 NW 12TH AVENUE
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-6520
Mailing Address - Fax:305-243-7991
Practice Address - Street 1:1475 NW 12TH AVENUE
Practice Address - Street 2:SUITE 3300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-6520
Practice Address - Fax:305-243-7991
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9238343363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner