Individual
JUAN MANUEL MUNOZ PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD # 100226, GAINESVILLE, FL 32610
(352) 273-8661
Mailing address
1600 SW ARCHER RD # 100226, GAINESVILLE, FL 32610-0226
(352) 273-8661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270187
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
270187
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME135489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024892500
—
FL
Enumeration date
07/06/2011
Last updated
07/11/2018
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