Doctor Name: | MARIA MIREYA NUNEZ |
NPI Number: | 1346441631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME 0073170 |
Business Practice Address: | 120 Benmore Dr Winter Park, FL - 327924101 |
Business Phone Number: | 4076455998 |
Business Fax Number: | |
Mailing Address: | 1055 Kensington Park Dr, Unit 413 ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327141911 |
Phone Number: | 4076593762 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 0073170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |