Kim, Peter Y.

Kim, Peter Y. is an individual health care provider with primary practice located at 131 S Citrus Ave Ste 302 , Inverness FL 34452-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kim, Peter Y. can be contacted via phone (352) 637-0211.

Contact Information

Primary practice address
131 S Citrus Ave Ste 302 Inverness FL 34452-4701
Phone: (352) 637-0211
Fax: (352) 637-5733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME91191 Florida

Profile Details

NPI number 1902832819
LBN Legal business name Kim, Peter Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902832819 NPPES
Florida Other 48524 BCBS FL
Florida MEDICAID 270461700 BCBS FL

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