Individual
DR. BOSE YALAMANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
11334 WILES RD, CORAL SPRINGS, FL 33076-2114
(954) 344-4555
(954) 344-4554
Mailing address
11334 WILES RD, CORAL SPRINGS, FL 33076-2114
(954) 344-4555
(954) 344-4554
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0040693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049469100
—
FL
01
—
592420003
TAX ID
FL
Enumeration date
12/09/2005
Last updated
06/09/2026
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