Provider Demographics
NPI:1609160027
Name:MUHUMUZA, JEAN-PIERRE B (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-PIERRE
Middle Name:B
Last Name:MUHUMUZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 CITRUS TOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1924
Mailing Address - Country:US
Mailing Address - Phone:352-708-4828
Mailing Address - Fax:352-708-4833
Practice Address - Street 1:1371 CITRUS TOWER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1924
Practice Address - Country:US
Practice Address - Phone:352-708-4828
Practice Address - Fax:352-708-4833
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120215208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty