Jung H Kim Md Pa

LBN: Jung H Kim Md Pa
Jung H Kim Md Pa is an health care organization with primary practice located at 340 Nw Commerce Dr , Lake City FL 32055-4709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Jung H Kim Md Pa can be contacted via phone (386) 719-9390, or through Kim, Jung H via phone (386) 719-9390.

Contact Information

Primary practice address
340 Nw Commerce Dr Lake City FL 32055-4709
Phone: (386) 719-9390
Fax: (386) 719-7729
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jung H Doctor of Medicine (MD)
Phone: (386) 719-9390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1275642290
LBN Legal business name Jung H Kim Md Pa
DBA Doing business as
Authorized official Kim, Jung H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275642290 NPPES
Florida Other 94321 BCBS

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