Provider Demographics
NPI:1083807044
Name:MUNOZ, MELISSA (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 FLAGLER AVE
Mailing Address - Street 2:STE 509
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4693
Mailing Address - Country:US
Mailing Address - Phone:305-296-2663
Mailing Address - Fax:305-296-2668
Practice Address - Street 1:1010 KENNEDY DR
Practice Address - Street 2:STE 401
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040
Practice Address - Country:US
Practice Address - Phone:305-296-5626
Practice Address - Fax:305-293-0010
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor