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Organization

YOAV, BARNAVON, MD, PA

Active
Other names
YOAV, BARNAVON, MD, PA
Organization subpart
No

Provider details

NPI number
Authorized official
YOAV BAMAVON MD (PRESIDENT)
(954) 987-8100
Entity
Organization

Contact information

Practice address
1150 N 35TH AVE, SUITE 200, HOLLYWOOD, FL 33021-5468
(954) 987-8100
(954) 989-0160
Mailing address
1201 N 35 AVE, SUITE 200, HOLLYWOOD, FL 33021-5468
(954) 987-8100
(954) 989-0160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0047713
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378408800
FL
Enumeration date
10/18/2007
Last updated
10/05/2020
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