Provider Demographics
NPI:1699849224
Name:MUNOZ, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:MUNOZ
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 1:7345 W SAND LAKE RD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5284
Mailing Address - Country:US
Mailing Address - Phone:407-903-5005
Mailing Address - Fax:407-903-5058
Practice Address - Street 1:7345 W SAND LAKE RD
Practice Address - Street 2:SUITE 222
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5284
Practice Address - Country:US
Practice Address - Phone:407-248-8862
Practice Address - Fax:407-248-8863
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 94731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 94731OtherSTATE LICENSE
FLAI005ZMedicare PIN