Munizza, Vincent S.
Munizza, Vincent S. is an individual health care provider with primary practice located at 13650 Metropolis Ave Suite 101, Fort Myers FL 33912. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Munizza, Vincent S. can be contacted via phone (239) 768-2111.Contact Information
Primary practice address
13650 Metropolis Ave Suite 101
Fort Myers FL 33912
Phone: (239) 768-2111
Fax: (239) 482-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | PA2064 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2064 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2064 | Florida |
Profile Details
| NPI number | 1457309601 |
|---|---|
| LBN Legal business name | Munizza, Vincent S. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457309601 | NPPES |
| Florida | MEDICAID | 290123400 |
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