Individual
JAY H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21110 BISCAYNE BLVD STE 403, AVENTURA, FL 33180-1252
(305) 918-0742
(305) 918-0787
Mailing address
21110 BISCAYNE BLVD STE 403, AVENTURA, FL 33180-1252
(305) 918-0742
(305) 918-0787
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME78947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224183
AMERIGROUP
FL
01
—
2338521
AETNA
FL
01
—
262898
AVMED
FL
01
—
49742
BCBS
FL
01
—
7524115
AETNA
FL
01
—
8203206
CIGNA
FL
01
—
D10849
VISTA
FL
01
—
N215632
WELLCARE
FL
01
—
P00296874
RAILROAD MEDICARE
FL
Enumeration date
08/15/2005
Last updated
02/10/2019
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