Individual
SAMUEL MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-4522
(833) 549-5578
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
(833) 549-5578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME146788
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110133600
—
FL
01
—
XBTZW
BLUE CROSS
FL
Enumeration date
04/23/2018
Last updated
07/07/2021
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