Individual
MS. CARMELA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EIS PROFESSIONAL
Contact information
Practice address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(786) 268-2611
Mailing address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(786) 268-2611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763414500
—
FL
05
—
811784500
—
FL
Enumeration date
09/29/2006
Last updated
03/17/2011
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