Organization
MARIANNA OB GYN ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORLANDO S MUNIZ (OWNER)
(850) 482-6484
Entity
Organization
Contact information
Practice address
4230 HOSPITAL DR, SUITE 209, MARIANNA, FL 32446-1955
(850) 482-6484
(850) 482-5713
Mailing address
4230 HOSPITAL DRIVE, SUITE 209, MARIANNA, FL 32446-1955
(850) 482-6484
(850) 482-5713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21956
BCBS GROUP
FL
05
—
254870400
—
FL
Enumeration date
03/06/2007
Last updated
02/16/2012
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