Individual
DR. BONG KWAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
14471 S DIXIE HWY, MIAMI, FL 33176-7924
(213) 700-0042
(786) 573-4777
Mailing address
14471 S. DIXIE HWY, MIAMI, FL 33176
(213) 700-0042
(786) 573-4777
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
10718
CA
171100000X
Acupuncturist
Primary
AP 3556
FL
Other
Enumeration date
05/16/2008
Last updated
02/10/2016
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