Individual provider Active NPI

Linda Gail King, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1336364322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
OS4299 Issued in FL
Practice address
1349 S International Pkwy
Suite 1431
Lake Mary, FL 32746-1697
Phone
(407) 333-3372
Fax
(407) 333-3672
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X OS4299 FL Primary

Addresses

Primary practice location

1349 S International Pkwy
Suite 1431
Lake Mary, FL 32746-1697

Mailing address

1349 S International Pkwy
Suite 1431
Lake Mary, FL 32746-1697
Phone (407) 333-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001477 FL Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 3678707577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4299FLMDOrthopedic Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336364322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1431",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461697",
            "telephone_number": "407-333-3372",
            "fax_number": "407-333-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1431",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461697",
            "telephone_number": "407-333-3372",
            "fax_number": "407-333-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LINDA",
        "middle_name": "GAIL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "OS4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.