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

Eric G Kim, DO

Individual provider Orthopaedic Surgery Physician · NPI 1124463088

Eric G Kim, DO is an Orthopedic Surgery in St Augustine, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group, works from 12 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 — (904) 634-0640
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 — (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 — (904) 328-5979
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 — (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 — (904) 634-0640
  • 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 — (904) 634-0640
  • 2300 Park Ave Ste 206, Orange Park, FL 32073-5573 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082-6600 — (904) 634-0640
  • 3055 County Road 210 W Ste 110, Saint Johns, FL 32259-7001 — (904) 634-0640
  • 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 — (904) 634-0640
  • 216 Southpark Cir E Ste 216, St Augustine, FL 32086-5135 — (904) 634-0640

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence OS15986 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence OTO15084 (PA)

Record details

NPI number1124463088
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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