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NPI Code Detail

MEDICARE: DR. RAY HYO IL KIM DPM

MEDICARE: DR. RAY HYO IL KIM DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine PodiatristPO2860FL
2213ES0000XSports Medicine PodiatristPO2860FL
3213ES0103XFoot & Ankle Surgery PodiatristPO2860FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821017799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAY HYO IL KIM DPM
Provider Business Mailing Address
First Line : PO BOX 278587
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-8587
Country : US
Telephone Number : 305-596-5355
Fax Number : 954-435-8809
Provider Business Practice Location Address
First Line : 9055 SW 87TH AVE
Second Line : STE 305
City : MIAMI
State : FL
Zip : 33176-2306
Country : US
Telephone Number : 305-596-5355
Fax Number : 954-435-8809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/10/2016

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Directions to “ DR. RAY HYO IL KIM DPM” Practice Location

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