Individual
DR. JOHN JOSEPH IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11950 COUNTY ROAD 101, SUITE 101, THE VILLAGES, FL 32162-9332
(352) 391-5200
(352) 391-5903
Mailing address
11950 COUNTY ROAD 101, SUITE 101, THE VILLAGES, FL 32162-9332
(352) 391-5200
(352) 391-5903
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS8729
FL
Other
Enumeration date
07/31/2007
Last updated
01/15/2009
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