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NPI Code Detail

MEDICARE: VALERY MUENYI MD

MEDICARE: VALERY MUENYI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN19788FL
2390200000XStudent in an Organized Health Care Education/Training Program
3207RG0100XGastroenterology PhysicianME143885FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427476852
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERY MUENYI MD
Provider Business Mailing Address
First Line : 1161 NW 12TH AVE.
Second Line :
City : MIAMI
State : FL
Zip : 33136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 904-388-8686
Fax Number : 904-387-2659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 09/16/2020

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