| Valentyn Tyulmenkov Llc | |
|
7300 Del Prado Cir S Boca Raton FL 33433-3386 | |
| (561) 392-3000 | |
| Not Available |
| Full Name | Valentyn Tyulmenkov Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7300 Del Prado Cir S, Boca Raton, Florida |
| Authorized Official Name and Position | Valentyn Tyulmenkov (PRESIDENT) |
| Authorized Official Contact | 5613029515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentyn Tyulmenkov Llc 263 Nw 70th St Boca Raton FL 33487-2392 Ph: (561) 302-9515 | Valentyn Tyulmenkov Llc 7300 Del Prado Cir S Boca Raton FL 33433-3386 Ph: (561) 392-3000 |
| NPI Number | 1508131301 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508131301 | NPI | - | NPPES |
| 004647400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME111260 (Florida) | Primary |
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