MEDICARE: MRS. ELIZABETH ANNE KUNZ LCSW

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	1041C0700X	Clinical Social Worker	SW6468	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285700138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANNE KUNZ LCSW

Provider Business Mailing Address
First Line	:	2479 EAST ALOMA AVENUE
Second Line	:	SUITE D
City	:	WINTER PARK
State	:	FL
Zip	:	32792-2541
Country	:	US
Telephone Number	:	407-894-4030
Fax Number	:	407-894-6010

Provider Business Practice Location Address
First Line	:	2479 EAST ALOMA AVENUE
Second Line	:	SUITE D
City	:	WINTER PARK
State	:	FL
Zip	:	32792-2541
Country	:	US
Telephone Number	:	407-894-4030
Fax Number	:	407-894-6010

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

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	10/08/2008

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