| Keith Chae Kim, MD | |
|
410 Celebration Pl, Suite 401, Celebration, FL 34747-5433 | |
| (407) 303-4658 | |
| (407) 303-4189 |
| Full Name | Keith Chae Kim |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 410 Celebration Pl, Celebration, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194732750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME88949 (Florida) | Primary |
| Entity Name | Osceola Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578723540 PECOS PAC ID: 0840366126 Enrollment ID: O20080910000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Chae Kim, MD 410 Celebration Pl, Suite 401, Celebration, FL 34747-5433 Ph: (407) 303-4658 | Keith Chae Kim, MD 410 Celebration Pl, Suite 401, Celebration, FL 34747-5433 Ph: (407) 303-4658 |
Derek Leaderer, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 410 Celebration Pl Ste 402, Celebration, FL 34747 Phone: 407-303-4080 Fax: 407-303-7255 | |
Dr. Ryan Fc Ramos, MD Surgery Medicare: Medicare Enrolled Practice Location: 2954 Mallory Cir Ste 101, Celebration, FL 34747 Phone: 321-939-0222 Fax: 407-288-1996 | |
Keila N Diaz Morales, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 Celebration Pl Ste 302, Celebration, FL 34747 Phone: 407-303-3824 Fax: 407-303-3825 | |
Dennis C Smith Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 410 Celebration Pl Ste 401, Celebration, FL 34747 Phone: 407-303-3820 Fax: 407-303-3821 | |
Dr. Jeremy Richard John, MD, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 Celebration Pl Fl 2, Celebration, FL 34747 Phone: 407-303-4760 Fax: 407-303-4546 | |
Lindsay Michelle Gates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 Celebration Pl Ste 402, Celebration, FL 34747 Phone: 407-303-4080 Fax: 407-303-7255 |