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Individual

OLIVIA MUNIZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-3292
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3292
(239) 343-3695

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME148002
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN27298
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110460900
FL
Enumeration date
07/05/2018
Last updated
11/10/2021
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