Organization
CENTER FOR SELF-DEVELOPMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA MV BUKI MD (DIRECTOR)
(305) 749-2500
Entity
Organization
Contact information
Practice address
18851 NE 29TH AV, SUITE 700, AVENTURA, FL 33180-4049
(305) 749-2500
(305) 749-2500
Mailing address
21205 YACHT CLUB DR, # 3201, AVENTURA, FL 33180
(305) 749-2500
(305) 749-2505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
185163
NY
2084P0800X
Psychiatry Physician
Primary
ME60240
FL
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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