Individual
PETER Y. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 S CITRUS AVE STE 302, INVERNESS, FL 34452-4701
(352) 637-0211
(352) 637-5733
Mailing address
131 S CITRUS AVE STE 302, INVERNESS, FL 34452-4701
(352) 637-0211
(352) 637-5733
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME91191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270461700
—
FL
01
—
48524
BCBS FL
FL
Enumeration date
06/23/2006
Last updated
05/14/2019
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