Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN18553 | FL |
NPI | 1063659811 |
---|---|
Provider Name | Dr. Zulima Munoz |
First Address | Pembroke Pines, FL 33028-1678 |
Second Address | Hialeah, FL 33016-5531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 09/09/2011 |