Male or Other

Dr. Bong Kwan Park DOM

Acupuncturist in Miami, FL(View on Map)

Full Name

Dr. Bong Kwan Park DOM

NPI Number

1508023664

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/16/2008

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Licenses

State

California
Florida

License Number

10718
AP 3556

Contact
Information

Purpose

Mailing
Location

Address

14471 S. DIXIE HWY
14471 S DIXIE HWY

City

Miami
Miami

State

FL
FL

Postal Code

33176
33176-7924

Country

US
US

Telephone Number

(213) 700-0042
(213) 700-0042

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/10/2016

Provider Address

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