Individual
JORGE MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
3090 CARUSO CT STE 50, ORLANDO, FL 32806-8510
(407) 481-7179
(407) 481-7190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107586
FL
363AM0700X
Medical Physician Assistant
Primary
PA9107586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010369300
—
FL
Enumeration date
12/12/2013
Last updated
01/29/2018
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