# SUNG HO BAE, DPM, P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baefoot Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447501820
- **Authorized official:** DR. SUNG HO BAE DPM (PRESIDENT)
- **Authorized official phone:** (305) 209-2212

## Contact information

- **Practice address:** 209 NE 95TH ST STE 6, MIAMI SHORES, FL 33138-2745
- **Practice address phone:** (305) 631-2698
- **Practice address fax:** (305) 639-8686
- **Mailing address:** PO BOX 11347, MIAMI, FL 33101-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 3576 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 05/09/2022
