Individual
FANNY MARITZA MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13217 CORTEZ BLVD, BROOKSVILLE, FL 34613-6807
(352) 597-1209
(877) 210-5491
Mailing address
13217 CORTEZ BLVD, BROOKSVILLE, FL 34613-6807
(352) 597-1209
(877) 210-5491
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5879
FL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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