Bango, Kim Lisa

Bango, Kim Lisa is an individual health care provider with primary practice located at 6150 Sw 76Th St Fl 1 , South Miami FL 33143-5002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bango, Kim Lisa can be contacted via phone (786) 709-9990.

Contact Information

Primary practice address
6150 Sw 76Th St Fl 1 South Miami FL 33143-5002
Phone: (786) 709-9990
Fax: (800) 445-9844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3462 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME94262 Florida

Profile Details

NPI number 1235171711
LBN Legal business name Bango, Kim Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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