JAE S KIM MD PA
Osteopathic Medicine at Colonial Dr, Orlando, FL

License number
Florida ME0041878
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. JAE S KIM M.D.
Title: PRESIDENT,TREASURER,SECRETARY
Phone: (407) 291-2440
Address
Address
5840 W Colonial Dr STE 1, Orlando, FL 32808
National Provider ID: 1093739146
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jae S. Kim, M.D., PA

Orlando, FL  -  Windermere, FL

Status:
Inactive
Registration:
Oct 3, 1984
Addresses:
5840 W Colonial Dr, Orlando, FL 32808
10513 Down Lakeview Cir, Windermere, FL 34786
State ID:
H23706
Business type:
Domestic for Profit Corporation
President, Vice Presidents:
Jae S. Kim President, Treasurer, Secretary, inactive,Sun H. Kim President, Vice President, inactive

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