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

Justin Daejun Kim

Individual provider Internal Medicine Physician · NPI 1366029035

Justin Daejun Kim is an Internal Medicine in Gainesville, Florida. Qualified in 2021, 5 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone: (352) 376-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME165923 (FL)

Record details

NPI number1366029035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address6577 Sw 77th Dr, Gainesville, FL 32608-0136

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Gainesville