Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992865497 Individual Practitioner Male Practitioner

Dr. Jin Ho Kim , DOM, AP, LAC, PDD

Acupuncturist • Sanford, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jin Kim, DOM, AP, LAC, PDD is a registered healthcare professional specializing in Acupuncturist in Sanford, FL. Practice services are available at 321 N MANGOUSTINE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

321 N Mangoustine Ave

Sanford, FL 327711098

Telephone 4075393950
Fax 4075392661
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Sanford, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Sanford, FL (2398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-06
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License FL AP2119

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12749100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1053083717

MASSAGETHERAPIST

NPI 1154050136

Doctor of Oriental Medicine

Tianlong Du , AP

Acupuncturist

NPI 1316819014
Joanna Beers

Acupuncturist

NPI 1477326254
Marjorie Luck , LMT

Acupuncturist

NPI 1508725565

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 06, 2023

Registered at 321 N MANGOUSTINE AVE, SANFORD, FL 327711098 (Tel: 4075393950)

📍
Updated Business Mailing Address April 06, 2023

Registered at 321 N MANGOUSTINE AVE, SANFORD, FL 327711098 (Tel: 4075939350)

👤
Provider Name / Credentials Updated April 06, 2023

Recorded as JIN KIM, DOM, AP, LAC, PD.D.

📍
Updated Business Mailing Address January 08, 2020

Registered at 400 W FAIRBANKS AVE STE B, WINTER PARK, FL 327895084 (Tel: 4075939350)

NPI Profile Active March 31, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2008

Registered at 400 W FAIRBANKS AVE, STE#B, WINTER PARK, FL 327895084 (Tel: 4075393950)

📍
Updated Business Mailing Address March 31, 2008

Registered at 1516 SOPHIE BLVD, ORLANDO, FL 328285952 (Tel: 4075393950)

👤
Provider Name / Credentials Updated March 31, 2008

Recorded as JIN KIM, A.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2008

Acupuncturist (License #AP2119 in FL)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992865497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: April 06, 2023
Sole Proprietor: No

Mailing Address

321 N Mangoustine Ave

Sanford, FL 327711098

Phone: 4075939350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.