Provider Demographics
NPI:1720635998
Name:MUNOZ, JOSE R (CSFA)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:R
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:CSFA
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Mailing Address - Street 1:4801 ESEDRA CT APT 203
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5019
Mailing Address - Country:US
Mailing Address - Phone:561-350-4592
Mailing Address - Fax:
Practice Address - Street 1:4801 ESEDRA CT APT 203
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-5019
Practice Address - Country:US
Practice Address - Phone:561-350-4592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2019-08-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical