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Individual

ANGELA JEEWON KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
620 10TH ST N STE 1E, ST PETERSBURG, FL 33705-1407
(727) 824-3120
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-0002

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151014483
MI
207R00000X
Internal Medicine Physician
Primary
OS20164
FL

Other

Enumeration date
05/12/2020
Last updated
02/24/2026
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