Provider Demographics
NPI:1790001261
Name:MUNOZ, KATHLEEN FITZGERALD (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:FITZGERALD
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SW 62ND PL
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4806
Mailing Address - Country:US
Mailing Address - Phone:305-665-1133
Mailing Address - Fax:305-666-0258
Practice Address - Street 1:7300 SW 62ND PL
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-665-1133
Practice Address - Fax:305-666-0258
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9234234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily