Provider Demographics
NPI:1053413823
Name:KWOK, YIU BUN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:YIU BUN
Middle Name:
Last Name:KWOK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 S HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2344
Mailing Address - Country:US
Mailing Address - Phone:305-891-8333
Mailing Address - Fax:
Practice Address - Street 1:690 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4815
Practice Address - Country:US
Practice Address - Phone:305-264-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0033508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050979Medicare ID - Type UnspecifiedMEDICARE#OF THE PHARMACY