Provider Demographics
NPI:1912009515
Name:STOEV, MURIEL GRANVILLE (MD)
Entity Type:Individual
Prefix:
First Name:MURIEL
Middle Name:GRANVILLE
Last Name:STOEV
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 1:7305 PROFESSIONAL PKWY E
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8455
Mailing Address - Country:US
Mailing Address - Phone:941-907-8700
Mailing Address - Fax:941-907-8703
Practice Address - Street 1:7305 PROFESSIONAL PKWY E
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8455
Practice Address - Country:US
Practice Address - Phone:941-907-8700
Practice Address - Fax:941-907-8703
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 86032207R00000X
HIMD-11597207R00000X
LA025907207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3041248OtherAETNA
FL47855OtherBCBS
FL541076OtherAMERIHEALTH
FL030412480001OtherMEDICAL MUTUAL
FL119116OtherHEALTHPARTNERS
FL3531714OtherCIGNA
FLAA3909OtherHARVARD PILGRIM HPHC
FLAA3909OtherHARVARD PILGRIM HPHC
H48151Medicare UPIN