Individual
DR. CHARLES HUMPHREY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1115
(352) 273-8610
Mailing address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-1673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0045080
MD
207L00000X
Anesthesiology Physician
Primary
ME132190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107975600
—
FL
05
—
310010300
—
MD
05
—
ME132190
—
FL
01
—
P00654786
RAILROAD MEDICARE
MD
Enumeration date
01/22/2007
Last updated
07/03/2024
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