Healthcare Provider Details

I. General information

NPI: 1376338863
Provider Name (Legal Business Name): KARLI KING AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 17TH AVE
VERO BEACH FL
32960-3641
US

IV. Provider business mailing address

6985 12TH ST
VERO BEACH FL
32966-1124
US

V. Phone/Fax

Practice location:
  • Phone: 772-562-6877
  • Fax: 772-562-3153
Mailing address:
  • Phone: 772-925-5434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: