Individual
JOHN CHAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16466
BCBS
FL
05
—
273465600
—
FL
01
—
P00281839
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
08/24/2023
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