Individual
DR. JONG H KIM
Active
Individual
DR. JONG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME67846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239216
AVMED
FL
01
—
270855
AVMED
FL
05
—
377558500
—
FL
01
—
68744
BCBSFL
FL
01
—
P00316732
RAIL ROAD MEDICARE
FL
01
—
P00323919
RAILROAD MEDICARE
FL
Enumeration date
05/06/2006
Last updated
03/22/2022
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