Individual
MRS. EDSERIE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003584
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11003584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103918500
—
FL
Enumeration date
08/02/2019
Last updated
10/28/2019
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