Doctor Name: | ANTONIO M MUNIZ |
NPI Number: | 1275582512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 9863 |
Business Practice Address: | 5015 E Busch Blvd Tampa, FL - 336175303 |
Business Phone Number: | 8139852784 |
Business Fax Number: | 8139899129 |
Mailing Address: | 8317 Alexandria Ct, SARASOTA |
State: | FL |
Postal Code: | 342383377 |
Phone Number: | 9419241294 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |