Individual
DR. GEORGE PAIK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 273-7832
Mailing address
PO BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-7832
(352) 273-7849
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME84642
FL
207RX0202X
Medical Oncology Physician
MD046631
DC
207RX0202X
Medical Oncology Physician
U1699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111409
CARE PLUS HEALTH PLANS
FL
01
—
1193307
WELLCARE
FL
01
—
13009
BCBS
FL
05
—
263939400
—
FL
01
—
319200
AVMED
FL
01
—
830008281
RAILROAD MEDICARE
FL
01
—
P01418086
RR MEDICARE
FL
01
—
P01593296
RR MEDICARE
FL
01
—
QMP000004932695
MOLINA
FL
Enumeration date
10/15/2005
Last updated
10/03/2023
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