Provider Demographics
NPI:1104036870
Name:MUNOZ, BARBARA (CPHT)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 SW 55TH ST UNIT 215
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3107
Mailing Address - Country:US
Mailing Address - Phone:786-663-8540
Mailing Address - Fax:305-274-2164
Practice Address - Street 1:7900 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3632
Practice Address - Country:US
Practice Address - Phone:305-274-1277
Practice Address - Fax:305-274-2164
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL200112028417184183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician