Dr Nathan Sung In Kim, MD | |
1590 S State Road 15a Ste 100, Deland, FL 32720-7817 | |
(386) 774-0016 | |
(386) 774-0606 |
Full Name | Dr Nathan Sung In Kim |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1590 S State Road 15a Ste 100, Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558823922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME148046 (Florida) | Primary |
Entity Name | Florida Health Care Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
Entity Name | West Volusia Family And Sports Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548584600 PECOS PAC ID: 1456483098 Enrollment ID: O20100719000256 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathan Sung In Kim, MD 1590 S State Road 15a Ste 100, Deland, FL 32720-7817 Ph: (386) 774-0016 | Dr Nathan Sung In Kim, MD 1590 S State Road 15a Ste 100, Deland, FL 32720-7817 Ph: (386) 774-0016 |
Thomas Jude Montaldo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St, Suite A, Deland, FL 32720 Phone: 386-943-7100 Fax: 386-738-2624 | |
Robert Solomon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 Phone: 386-943-3234 | |
Sue-ellen Elizabeth Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste A, Deland, FL 32720 Phone: 386-943-7100 | |
Stephen Mcaskill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-8000 Fax: 386-738-7211 | |
Dr. Melanie Renee Vandemark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 S Woodland Blvd, Suite 300-c, Deland, FL 32720 Phone: 386-740-1701 | |
Dr. Elizabeth Rivera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 929 N Spring Garden Ave Ste 170, Deland, FL 32720 Phone: 386-738-9144 Fax: 386-738-9213 | |
Mr. Cesar Nabong Abiera Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2729 S Woodland Blvd, Deland, FL 32720 Phone: 386-943-8883 Fax: 386-943-8056 |