Individual
JAE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5840 W COLONIAL DR, STE 1, ORLANDO, FL 32808-7558
(407) 767-8554
(407) 767-9121
Mailing address
5840 W COLONIAL DR, STE 1, ORLANDO, FL 32808-7558
(407) 767-8554
(407) 767-9121
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
Enumeration date
07/27/2006
Last updated
05/13/2013
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