Provider Demographics
NPI:1033457627
Name:MUNI, FERMIN
Entity Type:Individual
Prefix:MR
First Name:FERMIN
Middle Name:
Last Name:MUNI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20425 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1833
Mailing Address - Country:US
Mailing Address - Phone:305-256-3131
Mailing Address - Fax:305-256-3139
Practice Address - Street 1:20425 OLD CUTLER RD
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1833
Practice Address - Country:US
Practice Address - Phone:305-256-3131
Practice Address - Fax:305-256-3139
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS15728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist