Organization
CORAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE Y KIM D.O. (OWNER/MANAGER)
(305) 497-7036
Entity
Organization
Contact information
Practice address
1601 S DIXIE HWY, POMPANO BEACH, FL 33060-9043
(306) 497-7036
Mailing address
1601 S DIXIE HWY UNIT 612C, POMPANO BEACH, FL 33060-9043
(305) 497-7036
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
11/17/2025
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