Jae S Kim is a Cardiovascular Disease in Orlando, Florida. Jae S Kim practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jae S Kim is 1396769519. The last update date is 2013-05-13.
Jae S Kim's current location address is 5840 W Colonial Dr, Orlando, Florida. You can contact this provider via phone number 4077678554 and fax number 4077679121. The mailing address for Jae S Kim is 5840 W Colonial Dr, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae S Kim |
|---|---|
| Address | 5840 W Colonial Dr, Orlando, Florida |
| Phone Number | 4077678554 |
| Fax Number | 4077679121 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396769519 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2013-05-13 |
Provider Mailing Address Detail
| Address | 5840 W Colonial Dr |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328087558 |
| Phone Number | 4077678554 |
| Fax Number | 4077679121 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | ME0041878 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67741800 | FL | -- |
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What is the unique identifier code issued to Jae S Kim by the Centers for Medicare & Medicaid Services (CMS)?
The Jae S Kim has been assigned the NPI (National Provider Identifier) 1396769519. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jae S Kim located?
The Jae S Kim is located at 5840 W Colonial Dr, Orlando, FL 328087558.
What is Jae S Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jae S Kim's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
When did the Jae S Kim receive its 1396769519?
The Jae S Kim was issued its 1396769519 on 2006-07-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Jae S Kim's details last updated?
The information pertaining to the Jae S Kim, including its address, specialty, and other details, was most recently updated on 2013-05-13.