Provider Demographics
NPI:1912009515
Name:STOEV, MURIEL GRANVILLE (MD)
Entity type:Individual
Prefix:
First Name:MURIEL
Middle Name:GRANVILLE
Last Name:STOEV
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6766 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3321
Mailing Address - Country:US
Mailing Address - Phone:561-966-0015
Mailing Address - Fax:561-966-3911
Practice Address - Street 1:6766 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-3321
Practice Address - Country:US
Practice Address - Phone:561-966-0015
Practice Address - Fax:561-966-3911
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-11597207R00000X
LA025907207R00000X
FLME 86032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119116OtherHEALTHPARTNERS
FL3531714OtherCIGNA
FLAA3909OtherHARVARD PILGRIM HPHC
FL3041248OtherAETNA
FL030412480001OtherMEDICAL MUTUAL
FL47855OtherBCBS
FL110245188OtherRAIL ROAD MEDICARE
FL541076OtherAMERIHEALTH
FL595596332OtherTRICARE CHAMPUS