Kyoung Min Park, | |
1783 Sw 3rd Ave, Miami, FL 33129-1493 | |
(786) 495-0305 | |
Not Available |
Full Name | Kyoung Min Park |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1783 Sw 3rd Ave, Miami, Florida |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194305961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT36892 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brickell Physical Therapy Llc | 9830449974 | 5 |
Provider Name | Key Biscayne Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700153988 PECOS PAC ID: 8527214493 Enrollment ID: O20120808000505 |
Provider Name | Brickell Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003310350 PECOS PAC ID: 9830449974 Enrollment ID: O20190211003220 |
Mailing Address | Practice Location Address |
---|---|
Kyoung Min Park, 255 Sw 11th St Apt 1409, Miami, FL 33130-4197 Ph: (703) 401-7459 | Kyoung Min Park, 1783 Sw 3rd Ave, Miami, FL 33129-1493 Ph: (786) 495-0305 |
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