KYEEUN PARK (NPI# 1336766542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336766542 |
| Entity Type | Individual |
| Full Name | KYEEUN PARK |
| Practice Address |
10360 City Center Blvd Apt 303 Pembroke Pines FL 33025-4490 |
| Mailing Address |
703 N Flamingo Rd Pembroke Pines FL 33028-1014 |
| Practice Telephone | 8622451555 |
| Practice Fax Number | 8622451555 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10360 CITY CENTER BLVD APT 303 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1609491497 | Gerardo Oliva | Student in an Organized Health Care Education/Training Program | 7141 Sw 5th Ct, Pembroke Pines, FL 33023-1008 | 2020-06-08 |
| 1144857335 | Rachel Nicole Hollands | Student in an Organized Health Care Education/Training Program | 17913 Sw 11th St, Pembroke Pines, FL 33029-4417 | 2020-03-26 |
| 1710526256 | Marie Micale Dubois | Student in an Organized Health Care Education/Training Program | 8564 Nw 37th Ct, Pembroke Pines, FL 33024-5193 | 2020-01-01 |
| 1164071387 | Morgan Vyas | Student in an Organized Health Care Education/Training Program | 13845 Nw 20th St, Pembroke Pines, FL 33028-2615 | 2019-09-10 |
| 1811557994 | Kebron Aklilu | Student in an Organized Health Care Education/Training Program | 10108 Sw 13th St Apt 5-208, Pembroke Pines, FL 33025-5018 | 2019-06-19 |
| 1972167682 | Isabel Leticia Mora | Student in an Organized Health Care Education/Training Program | 200 Sw 64th Ave, Pembroke Pines, FL 33023-1237 | 2019-04-28 |
| 1497218028 | Angelica Sant Antonio | Student in an Organized Health Care Education/Training Program | 2141 Nw 139th Ter, Pembroke Pines, FL 33028-2838 | 2019-04-10 |
| 1366903049 | Samir Sadik Al-ghazawi | Student in an Organized Health Care Education/Training Program | 603 N Flamingo Rd Fl 2, Pembroke Pines, FL 33028-1023 | 2019-03-26 |
| 1245725076 | Fangcheng Wu | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 2, Pembroke Pines, FL 33028-1006 | 2018-06-25 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
Please comment or provide details below to improve the information on KYEEUN PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.