Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kim Lisa Bango, MD

Individual provider Family Medicine Physician · NPI 1235171711

Dr. Kim Lisa Bango, MD is a Family Practice in South Miami, Florida. Qualified in 1998, 28 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
28
Licensed in
FL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6150 SW 76th St Fl 1
South Miami, FL 33143-5002
Phone: (786) 709-9990
Fax: (800) 445-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8299 S Dixie Hwy, Miami, FL 33143-7717 — (786) 528-3000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME94262 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence M3462 (TX)

Record details

NPI number1235171711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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