Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nathan Sung In Kim, MD

Individual provider Family Medicine Physician · NPI 1558823922

Dr. Nathan Sung In Kim, MD is a Family Practice in Daytona Beach, Florida. Graduated from Wake Forest University School of Medicine in 2019, 7 years ago. Practices with West Volusia Family and Sports Medicine Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Wake Forest University School of Medicine
Licensed in
FL
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1890 Lpga Blvd Ste 170
Daytona Beach, FL 32117-7131
Phone: (386) 425-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME148046 (FL)

Record details

NPI number1558823922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice West Volusia Family And Sports Medicine Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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