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NPI Code Detail

MEDICARE: AZENATH MUOK

MEDICARE:   AZENATH  MUOK
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
1363LG0600XGerontology Nurse PractitionerAPRN11045568FL

General Provider Information

NPI Number : 1881549145
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZENATH MUOK
Provider Business Mailing Address
First Line : 6282 PINEAPPLE DR
Second Line :
City : MILTON
State : FL
Zip : 32570-8932
Country : US
Telephone Number : 850-781-8806
Fax Number :
Provider Business Practice Location Address
First Line : 6282 PINEAPPLE DR
Second Line :
City : MILTON
State : FL
Zip : 32570-8932
Country : US
Telephone Number : 850-781-8806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ AZENATH MUOK ” Practice Location

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