CORAL CLINIC LLC NPI 1821967555

NPI Information

  • NPI: 1821967555
  • Provider Name: CORAL CLINIC, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1601 S DIXIE HWY
    POMPANO BEACH, FL
    ZIP 33060
  • Phone: (306) 497-7036

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NPI Details

CORAL CLINIC, LLC is a general practice in Pompano Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CORAL CLINIC, LLC NPI is 1821967555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 S DIXIE HWY
POMPANO BEACH, FL
ZIP 33060-043
Phone: (306) 497-7036

The provider's authorized official is Tae Y Kim .
The authorized official title is Owner/manager and has the following contact phone number (305) 497-7036.

The enumeration date for this NPI number is 10/31/2025 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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