Provider Demographics
NPI:1790908127
Name:MUNOZ-BALLARD, BEATRIZ SOPHIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:SOPHIA
Last Name:MUNOZ-BALLARD
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3850 BIRD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1507
Mailing Address - Country:US
Mailing Address - Phone:305-669-8337
Mailing Address - Fax:305-856-4883
Practice Address - Street 1:3850 BIRD RD STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1507
Practice Address - Country:US
Practice Address - Phone:305-669-8337
Practice Address - Fax:305-856-4883
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103095363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant