| Soyeon Kim, | |
|
52 W Underwood St, Orlando, FL 32806-1110 | |
| (321) 841-5111 | |
| Not Available |
| Full Name | Soyeon Kim |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 52 W Underwood St, Orlando, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972174340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9363192 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11015879 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 665 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Soyeon Kim, 2365 Wellington Blvd, Winter Park, FL 32789-3449 Ph: (678) 687-0934 | Soyeon Kim, 52 W Underwood St, Orlando, FL 32806-1110 Ph: (321) 841-5111 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 | |
Yvonne Fulbright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 |