MEDICARE: ROSCHWISTA MARIE MUNIZ ARNP

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	363LP2300X	Primary Care Nurse Practitioner	APRN11033028	FL

General Provider Information

NPI Number	:	1629818547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSCHWISTA MARIE MUNIZ ARNP

Provider Business Mailing Address
First Line	:	4439 BEAUMARIS DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-7783
Country	:	US
Telephone Number	:	785-307-0353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 LETAP CT UNIT 101
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-7265
Country	:	US
Telephone Number	:	813-279-2211
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/18/2026

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