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Individual

BEAU MUNOZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES, MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(619) 532-8038
Mailing address
25003 PEACHLAND AVE UNIT 112, NEWHALL, CA 91321-2525
(661) 310-4629

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
26409
NE
202D00000X
Integrative Medicine Physician
26409
NE
2086S0102X
Surgical Critical Care Physician
Primary
26409
NE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/27/2010
Last updated
04/06/2026
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