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Individual

ANDREW JONGSOO KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-1900
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME158534
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A629450
CA
Enumeration date
10/18/2006
Last updated
10/03/2024
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