Provider Demographics
NPI:1316733686
Name:MUNOZ, MIDDALINE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MIDDALINE
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MRS
Other - First Name:MIDDALINE
Other - Middle Name:
Other - Last Name:MUNOZ MEDINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:2245 DUNCAN TRL
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-8011
Mailing Address - Country:US
Mailing Address - Phone:407-956-0183
Mailing Address - Fax:
Practice Address - Street 1:2245 DUNCAN TRL
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-8011
Practice Address - Country:US
Practice Address - Phone:407-956-0183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN110389929363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health