DR. BONG KWAN PARK (NPI# 1508023664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508023664 |
| Entity Type | Individual |
| Full Name | DR. BONG KWAN PARK |
| Credential | DOM |
| Practice Address |
14471 S Dixie Hwy Miami FL 33176-7924 |
| Mailing Address |
14471 S. Dixie Hwy Miami FL 33176 |
| Practice Telephone | 2137000042 |
| Practice Fax Number | 7865734777 |
| Mailing Telephone | 2137000042 |
| Mailing Fax Number | 7865734777 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AP 3556 | FL | Other Service Providers |
| N | 171100000X | Acupuncturist | 10718 | CA | Other Service Providers |
| Street Address |
14471 S DIXIE HWY |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851313217 | Steven Collins | Acupuncturist | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2006-07-24 |
| 1497379465 | Medical Center of Palmetto Bay, Inc. | Acupuncturist | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2020-06-04 |
| 1073137204 | Integrative Primary Care Inc | Acupuncturist | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2020-06-03 |
| 1033504592 | Veaceslav Vlas | Acupuncturist | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2015-04-01 |
| 1740684000 | Medicine Man Medical Center of South Florida, Inc. | Acupuncturist | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2014-10-15 |
| 1699083063 | Tri Pro Active Medical Center Inc | Clinic/Center | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2010-09-20 |
| 1043547995 | Qi Wellness Center Inc | Clinic/Center | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2009-11-13 |
| 1457591828 | Medicine Man Pain Management Center | Clinic/Center | 14471 S Dixie Hwy, Miami, FL 33176-7924 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679022 | Doral Acupuncture LLC | Acupuncturist | 3399 Nw 72nd Ave Ste 224, Miami, FL 33122-1344 | 2020-11-03 |
| 1013521384 | Ricardo Jose Kmentt | Acupuncturist | 360 Nw 40th St, Miami, FL 33127-2935 | 2020-09-03 |
| 1942810650 | Rahhim De Pinedo | Acupuncturist | 1911 Sw 17th Ter, Miami, FL 33145-2119 | 2020-08-06 |
| 1235757618 | Emmanuelle Sardou | Acupuncturist | 5781 Sw 53rd Ter, Miami, FL 33155-6333 | 2020-07-11 |
| 1326665258 | Luis Felipe Toro Reyes | Acupuncturist | 12905 Sw 42nd St Ste 225, Miami, FL 33175-2933 | 2020-06-26 |
| 1043845159 | Lilliam Bottaro | Acupuncturist | 11621 Sw 82nd Ter, Miami, FL 33173-3628 | 2020-03-09 |
| 1851935936 | Yanersy Rios Correa | Acupuncturist | 7988 Sw 8th St, Miami, FL 33144-4268 | 2019-11-01 |
| 1528612561 | Mary Xiaolin Tan, Inc. | Acupuncturist | 6601 Sw 80th St Ste 113, Miami, FL 33143-4661 | 2019-07-29 |
| 1164081436 | Veronica Cid | Acupuncturist | 8861 Sw 142nd Ave Apt 9-35, Miami, FL 33186-4025 | 2019-06-11 |
| 1124584230 | Rene S Bustamante | Acupuncturist | 7480 Sw 40th St Ste 840, Miami, FL 33155-6660 | 2019-02-13 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.