Individual
ERIC G KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086-6586
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS15986
FL
207X00000X
Orthopaedic Surgery Physician
OTO15084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108757500
—
FL
Enumeration date
05/06/2013
Last updated
07/28/2025
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