Individual
LANCE Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2237 SW 19TH AVENUE RD STE 101, OCALA, FL 34471-7751
(352) 867-9877
(352) 291-5096
Mailing address
2237 SW 19TH AVENUE RD, OCALA, FL 34471-7751
(352) 867-9877
(352) 867-1040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS7448
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
OS7448
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
OS7448
FL
2084V0102X
Vascular Neurology Physician
OS7448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272016700
—
FL
Enumeration date
03/17/2006
Last updated
01/23/2025
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