Provider Demographics
NPI:1194054197
Name:KIM, DEBORAH MIYOUNG (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:MIYOUNG
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1150 NW 14TH ST STE 502
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2116
Mailing Address - Country:US
Mailing Address - Phone:305-243-7429
Mailing Address - Fax:305-243-7440
Practice Address - Street 1:1150 NW 14TH ST STE 502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2116
Practice Address - Country:US
Practice Address - Phone:305-243-7429
Practice Address - Fax:305-243-7440
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2023-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 113965207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine