Healthcare Provider Details

I. General information

NPI: 1902001704
Provider Name (Legal Business Name): DEV VIBHAKAR D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 BRICKELL AVE STE 301
MIAMI FL
33131-3425
US

IV. Provider business mailing address

1441 BRICKELL AVE STE 301
MIAMI FL
33131-3425
US

V. Phone/Fax

Practice location:
  • Phone: 306-918-1750
  • Fax:
Mailing address:
  • Phone: 305-918-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOT012059
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberOS13826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: