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Contact Information

VINCENT S MUNIZZA, PA
13650 METROPOLIS AVE
SUITE 101
FORT MYERS, FL33912
 Phone: 239-768-2111
 Fax: 239-482-4404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VINCENT S MUNIZZA · (Male)

NPI # 1457309601
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/04/2006
Last updated 04/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA2064
  • FL Medicaid 290123400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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