Individual
AMY JUNG IN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5440 S WILLIAMSON BLVD UNIT 104, PORT ORANGE, FL 32128-7422
(386) 425-1313
Mailing address
5440 S WILLIAMSON BLVD FL 32128, PORT ORANGE, FL 32128-7422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
161610
FL
Other
Enumeration date
03/26/2020
Last updated
09/11/2023
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