MEDICARE: LUANA LOBELLE MUNIZ

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	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1548097686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUANA LOBELLE MUNIZ

Provider Business Mailing Address
First Line	:	4724 JOSEPH CT UNIT 226
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7247
Country	:	US
Telephone Number	:	727-313-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	4724 JOSEPH CT UNIT 226
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7247
Country	:	US
Telephone Number	:	727-313-2526
Fax Number	:

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

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	09/13/2024

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Directions to “ LUANA LOBELLE MUNIZ ” Practice Location

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