Healthcare Provider Details
I. General information
NPI: 1699249177
Provider Name (Legal Business Name): MUNIA AND ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2019
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9195 SW 72ND ST STE 210
MIAMI FL
33173-3488
US
IV. Provider business mailing address
9780 E INDIGO ST STE 202
PALMETTO BAY FL
33157-5610
US
V. Phone/Fax
- Phone: 305-271-9065
- Fax:
- Phone: 52-529-4853
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAYMOND
LEVY
Title or Position: OWNER
Credential:
Phone: 305-219-8055