Healthcare Provider Details

I. General information

NPI: 1053013656
Provider Name (Legal Business Name): CALEB ABRAHAM KING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 SR-54 E
TRINITY FL
34655
US

IV. Provider business mailing address

2920 MEADOWOOD DR
NEW PORT RICHEY FL
34655-3711
US

V. Phone/Fax

Practice location:
  • Phone: 727-834-4000
  • Fax:
Mailing address:
  • Phone: 813-347-3890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberW4517
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME179176
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: