IndividualActive
Sung Kim, PA-C
NPI 1134593536 · Physician Assistant · Mount Dora, FL
Provider details
- NPI number
- 1134593536
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA9109079 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751
Phone: (352) 735-3755
Fax: (352) 314-1942
Street-level locationGet directions
Mailing address
18550 US Highway 441
Mount Dora, FL 32757-6751
Registry dates
- Enumerated
- 2015-11-23
- Last updated
- 2017-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.