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Individual
MR. VINCENT S. MUNIZZA
Active
Individual
MR. VINCENT S. MUNIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA2064
FL
363A00000X
Physician Assistant
Primary
PA2064
FL
363AM0700X
Medical Physician Assistant
PA2064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290123400
—
FL
Enumeration date
05/04/2006
Last updated
04/15/2016
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