| P John Kim Md | |
|
18635 Nw Us Highway 441 High Springs FL 32643-8708 | |
| (386) 454-2724 | |
| (386) 454-2899 |
| Full Name | P John Kim Md |
|---|---|
| Speciality | Family Medicine |
| Location | 18635 Nw Us Highway 441, High Springs, Florida |
| Authorized Official Name and Position | P John Kim (OWNER) |
| Authorized Official Contact | 3864542724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P John Kim Md 18635 Nw Us Highway 441 High Springs FL 32643-8708 Ph: (386) 454-2724 | P John Kim Md 18635 Nw Us Highway 441 High Springs FL 32643-8708 Ph: (386) 454-2724 |
| NPI Number | 1134511462 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134511462 | NPI | - | NPPES |
| 044632700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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