Provider Demographics
NPI:1114972692
Name:BARNAVON, YOAV (MD)
Entity Type:Individual
Prefix:DR
First Name:YOAV
Middle Name:
Last Name:BARNAVON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N. 35TH AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-987-8100
Mailing Address - Fax:954-989-0160
Practice Address - Street 1:1201 N 35TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5468
Practice Address - Country:US
Practice Address - Phone:954-987-8100
Practice Address - Fax:954-989-0160
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0047713208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370713000Medicaid
FL370713000Medicaid