Provider Demographics
NPI:1518238435
Name:MUNOZ, ROSA MARIA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 SMITHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7477
Mailing Address - Country:US
Mailing Address - Phone:407-240-1288
Mailing Address - Fax:
Practice Address - Street 1:2921 SMITHFIELD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7477
Practice Address - Country:US
Practice Address - Phone:407-240-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA51323225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist