Individual
JOSHUA W KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
(941) 484-2200
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 480-2135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME93875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28595
BCBS
FL
Enumeration date
08/31/2006
Last updated
04/19/2022
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