Provider Demographics
NPI:1740455682
Name:BIBI, YUVAL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:YUVAL
Middle Name:
Last Name:BIBI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PLAZA REAL S APT 1205
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4868
Mailing Address - Country:US
Mailing Address - Phone:213-309-9969
Mailing Address - Fax:
Practice Address - Street 1:3000 N UNIVERSITY DR STE K
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5082
Practice Address - Country:US
Practice Address - Phone:954-752-2630
Practice Address - Fax:954-755-1865
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA128147207N00000X
FLME148317207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology