MEDICARE: SOFIA MUNIZ OTR/L

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	225X00000X	Occupational Therapist	OT 15651	FL

General Provider Information

NPI Number	:	1396189569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA MUNIZ OTR/L

Provider Business Mailing Address
First Line	:	2645 SW 37TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2744
Country	:	US
Telephone Number	:	305-448-7101
Fax Number	:

Provider Business Practice Location Address
First Line	:	1477 NW 8TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1425
Country	:	US
Telephone Number	:	305-547-2500
Fax Number	:

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

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	04/18/2013

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Directions to “ SOFIA MUNIZ OTR/L” Practice Location

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