Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bong Kwan Park, DOM

Individual provider Acupuncturist · NPI 1508023664

Dr. Bong Kwan Park, DOM is an Acupuncturist in Miami, Florida. Practices as a sole proprietor. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

14471 S Dixie Hwy
Miami, FL 33176-7924
Phone: (213) 700-0042
Fax: (786) 573-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AP 3556 (FL)
Acupuncturist Taxonomy 171100000X · Licence 10718 (CA)

Record details

NPI number1508023664
Entity typeIndividual (Type 1)
GenderMale
Credentials DOM
Sole proprietorYes
NPI enumeratedMay 16, 2008
Last updated in NPPESFebruary 10, 2016

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