Provider Demographics
NPI:1063659811
Name:MUNOZ, ZULIMA (DDS)
Entity type:Individual
Prefix:DR
First Name:ZULIMA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15623 NW 12TH RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1678
Mailing Address - Country:US
Mailing Address - Phone:305-336-5238
Mailing Address - Fax:
Practice Address - Street 1:7150 W 20TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5531
Practice Address - Country:US
Practice Address - Phone:305-556-9020
Practice Address - Fax:305-556-2799
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN185531223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry