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Individual

MR. JOSE R. MUNIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
412 SW 5 STREET, HOMESTEAD, FL 33030-7134
(305) 501-1007
Mailing address
412 SW 5 STREET, HOMESTEAD, FL 33030-7134

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9458830
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034128
FL

Other

Enumeration date
05/31/2024
Last updated
08/09/2024
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