Provider Demographics
NPI:1467699926
Name:MERUNKO, ALEXEY (MD)
Entity Type:Individual
Prefix:
First Name:ALEXEY
Middle Name:
Last Name:MERUNKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEXEY
Other - Middle Name:A
Other - Last Name:MERUNKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3663 S MIAMI AVE
Mailing Address - Street 2:HOSPITALIST SERVISES
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4253
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3663 S MIAMI AVE
Practice Address - Street 2:MERCY HOSPITAL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4253
Practice Address - Country:US
Practice Address - Phone:305-854-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2016-03-17
Deactivation Date:2011-10-27
Deactivation Code:
Reactivation Date:2011-10-27
Provider Licenses
StateLicense IDTaxonomies
FLME 126151208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist