Provider Demographics
NPI:1275676256
Name:BUKI, VIRGINIA MV (M D)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:MV
Last Name:BUKI
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 NE 191ST ST STE 700
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2834
Mailing Address - Country:US
Mailing Address - Phone:954-821-7878
Mailing Address - Fax:305-935-9900
Practice Address - Street 1:2875 NE 191ST ST
Practice Address - Street 2:SUITE # 402
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2831
Practice Address - Country:US
Practice Address - Phone:305-935-1800
Practice Address - Fax:305-935-9900
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME602402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry