MEDICARE: JESSICA MUNOZ PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1871464560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MUNOZ PA-C

Provider Business Mailing Address
First Line	:	1530 W 68TH ST APT 206
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3842
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6109 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2213
Country	:	US
Telephone Number	:	954-239-7054
Fax Number	:

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

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “ JESSICA MUNOZ PA-C” Practice Location

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