Provider Information for 1710456181
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YADIEL MUNOZ MSW
Sex: Male
NPI: 1710456181
Last Updated: 2018-11-15
Certification Date:
Certification Date:
Details
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NPI | 1710456181 | ||||||||
Enumeration Date | 2018-11-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 456 LAKE BRIDGE LN APT 611 APOPKA, FL 32703-5780 United States Phone: 786-426-1480 | Fax: | ||||||||
Primary Practice Address | 5786, 225 S SWOOPE AVE # 211, MAITLAND, FL 32751 United States Phone: 407-622-0444 | Fax: | ||||||||
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