Individual provider · Type 1 NPI
Tae Y. Kim
General Practice Physician · Pompano Beach, FL
NPI number
1962906487
Active
Practice location
1601 S Dixie Hwy Apt 612C
Pompano Beach, FL 33060-9043
Mailing address
1601 S Dixie Hwy Unit 612C
Pompano Beach, FL 33060-9051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | OS16709 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1962906487
Tae Y. Kim's National Provider Identifier is 1962906487, issued on Mar 20, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Jul 27, 2026.