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Bong Kwan Park, DOM
NPI 1508023664 · on the registry since 2008 · sole proprietor
Practice
- Address
- 14471 S Dixie Hwy
Miami, FL 33176 - Phone
- (213) 700-0042
- Fax
- (786) 573-4777
- Organisation at this address
- Qi Wellness Center Inc
Integrative Primary Care Inc
Tri Pro Active Medical Center Inc
Medicine Man Pain Management Center
Medical Center Of Palmetto Bay, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Acupuncturist
171100000X
- Also registered as
- Acupuncturist
- Licence states on file
- CA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida