Provider Demographics
NPI:1437448099
Name:DR. KING & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. KING & ASSOCIATES, P.A.
Other - Org Name:INTERNATIONAL HOLISTIC CENTER INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCSW
Authorized Official - Phone:954-903-9426
Mailing Address - Street 1:3471 N FEDERAL HWY STE 410
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1050
Mailing Address - Country:US
Mailing Address - Phone:954-903-9426
Mailing Address - Fax:954-533-8616
Practice Address - Street 1:3471 N FEDERAL HWY STE 410
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1050
Practice Address - Country:US
Practice Address - Phone:954-903-9426
Practice Address - Fax:954-533-8616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW58331041C0700X
FLND5063133V00000X
FLAP1944171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty