Active NPI
Valentyn Tyulmenkov LLC
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1508131301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME111260
- Legal business name
- VALENTYN TYULMENKOV LLC
- Practice address
- 7300 Del Prado Cir S
Boca Raton, FL 33433-3386 - Phone
- (561) 392-3000
- NPI assigned
- Mar 13, 2012
- Last updated
- May 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Valentyn Tyulmenkov, M.D.
- Title
- President
- Phone
- (561) 302-9515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME111260 | FL | Primary |
Addresses
Primary practice location
7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Mailing address
263 NW 70TH St
Boca Raton, FL 33487-2392
Phone (561) 302-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004647400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1548269178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1508131301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 NW 70TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872392",
"telephone_number": "561-302-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 DEL PRADO CIR S",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333386",
"telephone_number": "561-392-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENTYN TYULMENKOV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "TYULMENKOV",
"authorized_official_first_name": "VALENTYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-302-9515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME111260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004647400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.