Provider Demographics
NPI:1013595198
Name:NEGRON MUNIZ, GLIMARY
Entity Type:Individual
Prefix:
First Name:GLIMARY
Middle Name:
Last Name:NEGRON MUNIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5063 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7621
Mailing Address - Country:US
Mailing Address - Phone:352-438-9796
Mailing Address - Fax:
Practice Address - Street 1:5063 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7621
Practice Address - Country:US
Practice Address - Phone:352-438-9796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist