Provider Demographics
NPI:1275787467
Name:CHERNAEV, DANIEL MINCHEV (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MINCHEV
Last Name:CHERNAEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DANIELA
Other - Middle Name:MINCHEV
Other - Last Name:CHERNAEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:807 N MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-4254
Mailing Address - Country:US
Mailing Address - Phone:727-467-2400
Mailing Address - Fax:727-467-2477
Practice Address - Street 1:807 N MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755
Practice Address - Country:US
Practice Address - Phone:727-467-2400
Practice Address - Fax:727-467-2477
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110695207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003906800Medicaid
FLFK139ZMedicare PIN