MEDICARE: LAZARO O GONZALEZ MUNOZ APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11012310	FL
2	363L00000X	Nurse Practitioner	CNP241670	ME

General Provider Information

NPI Number	:	1003371113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAZARO O GONZALEZ MUNOZ APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1059 6TH AVE APT C2
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6879
Country	:	US
Telephone Number	:	786-521-9971
Fax Number	:

Provider Business Practice Location Address
First Line	:	1059 6TH AVE APT C2
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6879
Country	:	US
Telephone Number	:	786-521-9971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2019
Last Update Date	:	02/11/2026

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