| Urian Kim, MD | |
|
1100 Sawgrass Village Dr Ste 100, Ponte Vedra, FL 32082-3083 | |
| (904) 285-9355 | |
| (904) 285-7474 |
| Full Name | Urian Kim |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851487292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA07864200 (New Jersey) | Secondary |
| 208000000X | Pediatrics | ME125625 (Florida) | Primary |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Urian Kim, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Urian Kim, MD 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, FL 32082-3083 Ph: (904) 285-9355 |
Dr. Erika Nicolina Lorig-wolf, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 193 Old Bluff Dr, Ponte Vedra, FL 32081 Phone: 631-561-8975 | |
Melanie Loretta Bradley, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Marketside Ave Ste 405, Ponte Vedra, FL 32081 Phone: 904-223-9100 |