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MR. ALEXANDER JAEWOOK RIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1121 NW 64TH TERRACE, STE A, GAINESVILLE, FL 32605
(352) 331-6777
(352) 331-8899
Mailing address
1121 NW 64TH TERRACE, STE A, GAINESVILLE, FL 32605
(352) 331-6777
(352) 331-8899

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME91673
FL
2086S0129X
Vascular Surgery Physician
Primary
ME91673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271281400
FL
01
52062
BCBS
FL
Enumeration date
04/26/2006
Last updated
07/08/2010
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