Individual
MR. BURIJ MUCHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3720 SW 107TH AVE STE 1, MIAMI, FL 33165-3639
(305) 554-4270
Mailing address
6957 SW 115TH PL APT D, MIAMI, FL 33173-1872
(305) 274-8789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9100827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2918404
—
FL
Enumeration date
09/17/2006
Last updated
07/09/2007
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