Healthcare Provider Details

I. General information

NPI: 1275994766
Provider Name (Legal Business Name): MNI MEDICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7899 TALAVERA PL
DELRAY BEACH FL
33446-4322
US

IV. Provider business mailing address

244 MADISON AVE # 1100
NEW YORK NY
10016-2817
US

V. Phone/Fax

Practice location:
  • Phone: 646-381-2141
  • Fax:
Mailing address:
  • Phone: 212-518-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 332-282-5622