Individual
DR. JULVET CHEPNGUM MBIANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 S 21ST AVE, HOLLYWOOD, FL 33020-5015
(781) 292-0250
Mailing address
507 S 21ST AVE, HOLLYWOOD, FL 33020-5015
(781) 292-0250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036171017
IL
207RC0000X
Cardiovascular Disease Physician
15437
SD
207RI0011X
Interventional Cardiology Physician
036171017
IL
207RI0011X
Interventional Cardiology Physician
Primary
MD615645599
WA
Other
Enumeration date
07/09/2017
Last updated
12/03/2025
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