Sung Kim, PA-C
Physician Assistant in Mount Dora, FL. Individual provider (NPI-1).
NPI number1134593536
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1134593536
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sung Kim
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2015
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109079 | FL | Yes |
Practice location
18550 Us Highway 441Ste A
Mount Dora, FL 32757-6751
Phone 352-735-3755 · Fax 352-314-1942
Mailing address
18550 Us Highway 441Ste A
Mount Dora, FL 32757-6751
Phone 352-735-3755 · Fax 352-314-1942
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All 11 Physician Assistant providers in Mount Dora · All 974 providers in Mount Dora
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