Individual
ROBERT J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP CARDIOLOGY, JACKSONVILLE, FL 32209
(904) 244-4198
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
062240
GA
207RC0000X
Cardiovascular Disease Physician
12499
NH
207RC0000X
Cardiovascular Disease Physician
ME101790
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME101790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002209-00
—
FL
05
—
620362047A
—
GA
05
—
620362047B
—
GA
05
—
620362047C
—
GA
Enumeration date
08/22/2006
Last updated
05/23/2018
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