Individual
DR. JUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(407) 514-3668
(321) 843-2196
Mailing address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(407) 514-3668
(321) 843-2196
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
263934-1
NY
207L00000X
Anesthesiology Physician
ME136181
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120895200
—
FL
Enumeration date
10/31/2008
Last updated
04/09/2024
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