Healthcare Provider Details

I. General information

NPI: 1063341477
Provider Name (Legal Business Name): STEFANI FIORELA MUNIZ RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 SW 93RD AVE
COOPER CITY FL
33328-4222
US

IV. Provider business mailing address

5121 SW 93RD AVE
COOPER CITY FL
33328-4222
US

V. Phone/Fax

Practice location:
  • Phone: 786-296-2615
  • Fax: 786-296-2615
Mailing address:
  • Phone: 786-296-2615
  • Fax: 786-296-2615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: