Healthcare Provider Details

I. General information

NPI: 1982918330
Provider Name (Legal Business Name): ELVIN MUNIZ-RAMIREZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AVENUE F NE
WINTER HAVEN FL
33881-4131
US

IV. Provider business mailing address

200 AVENUE F NE
WINTER HAVEN FL
33881-4131
US

V. Phone/Fax

Practice location:
  • Phone: 863-293-1191
  • Fax: 863-292-4112
Mailing address:
  • Phone: 863-293-1191
  • Fax: 863-292-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME131132
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: