Individual
HYON JEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME143884
FL
207RX0202X
Medical Oncology Physician
Primary
ME143884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105929300
—
FL
Enumeration date
06/25/2008
Last updated
08/09/2022
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