MEDICARE: YAMILE MUNOZ

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	103K00000X	Behavior Analyst	1-19-38551	FL
2	104100000X	Social Worker	CBHCMS101108	FL

General Provider Information

NPI Number	:	1609228881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMILE MUNOZ

Provider Business Mailing Address
First Line	:	6820 N AUGUSTA DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2118
Country	:	US
Telephone Number	:	786-314-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	7448 ALOMA AVE STE 1
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-9171
Country	:	US
Telephone Number	:	321-444-9688
Fax Number	:

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

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	05/22/2024

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Directions to “ YAMILE MUNOZ ” Practice Location

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