Organization
JAE S KIM MD PA
Active
Other names
HEART CARE CENTRE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE S KIM M.D. (PRESIDENT,TREASURER,SECRETARY)
(407) 291-2440
Entity
Organization
Contact information
Practice address
5840 W COLONIAL DR, STE 1, ORLANDO, FL 32808-7558
(407) 291-2440
(407) 290-8966
Mailing address
5840 W COLONIAL DR, STE 1, ORLANDO, FL 32808-7558
(407) 291-2440
(407) 290-8966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0041878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067741800
—
FL
01
—
47570
BCBS OF FLORIDA
FL
Enumeration date
07/26/2006
Last updated
10/27/2007
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