| Justin Daejun Kim, | |
|
1601 Sw Archer Rd, Gainesville, FL 32608-1135 | |
| (352) 376-1611 | |
| Not Available |
| Full Name | Justin Daejun Kim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 1601 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366029035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME165923 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Shands Hospital | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Florida Rehab Specialists Pllc | 5890155279 | 38 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Florida Rehab Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447941984 PECOS PAC ID: 5890155279 Enrollment ID: O20230717002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Daejun Kim, 6577 Sw 77th Dr, Gainesville, FL 32608-0136 Ph: (813) 522-2452 | Justin Daejun Kim, 1601 Sw Archer Rd, Gainesville, FL 32608-1135 Ph: (352) 376-1611 |
Dr. Sheetal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 800-324-8387 | |
Eric I Rosenberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0651 Fax: 352-265-0153 | |
Mohamed K Helmi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-375-0302 Fax: 352-371-0456 | |
Osman S Farooq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-559-5051 | |
Ilie Toma Barb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-264-2500 Fax: 352-416-0135 | |
Dr. Sebastian Carrasquillo Montalvo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9079 Fax: 352-273-8889 | |
Fernando Ortiz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-375-1212 Fax: 352-371-4650 |