Coral Clinic, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CORAL CLINIC, LLC

Practice address

1601 S Dixie Hwy
Pompano Beach, FL 33060-9043

Phone

(306) 497-7036

NPI assigned

Oct 31, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tae Y Kim, D.O.NPI 1962906487

Title

Owner/Manager

Phone

(305) 497-7036

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tae Y Kim

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1962906487
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1821967555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S DIXIE HWY UNIT 612C",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609043",
            "telephone_number": "305-497-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S DIXIE HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609043",
            "telephone_number": "306-497-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-497-7036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalonda L Copeland, BSW, MSW, CAMS, DVCE
• Hasnae Elouardighi Coquille, AP
• Cor Imaging Center Inc
• Cor Medical Centers of Pompano
• Cora Health Services Inc
• Amy Beth Corderman, LCSW
• Roxana Cordero
• Coreai Technology
• Dominique Coriolan, MSW
• Cornerstone Recovery Inc.

• General Practice Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.