Provider Demographics
NPI:1477639607
Name:MYINT, MURIEL YI YI (MD)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:YI YI
Last Name:MYINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 EVANS AVE
Mailing Address - Street 2:LANDMARK PROF BLDG S 204
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9343
Mailing Address - Country:US
Mailing Address - Phone:239-939-2428
Mailing Address - Fax:239-433-1269
Practice Address - Street 1:3949 EVANS AVE
Practice Address - Street 2:LANDMARK PROF BLDG S 204
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9343
Practice Address - Country:US
Practice Address - Phone:239-939-2428
Practice Address - Fax:239-433-1269
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME262382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
78337Medicare ID - Type Unspecified
D58450Medicare UPIN