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

Sungjune Kim, MDPHD

Individual provider Radiation Oncology Physician · NPI 1407170277

Sungjune Kim, MDPHD is a Radiation Oncology in Jacksonville, Florida. Graduated from Vanderbilt University School of Medicine in 2010, 16 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Trained at
Vanderbilt University School of Medicine
Licensed in
FL
In the registry since
2010
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 — (813) 844-7995

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence ME123214 (FL)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence TRN16450 (FL)

Record details

NPI number1407170277
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 23, 2010
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jacksonville