Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME79821 | FL |
NPI | 1013247949 |
---|---|
Provider Name | Garfield A Munroe |
First Address | Weston, FL 33331-3634 |
Second Address | Weston, FL 33331-3634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2009 |
Last Update Date | 24/12/2009 |