Provider Demographics
NPI:1396552568
Name:GIL MUNOZ, EDUARD GUILLERMO
Entity type:Individual
Prefix:
First Name:EDUARD
Middle Name:GUILLERMO
Last Name:GIL MUNOZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 FERNCREST DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9212
Mailing Address - Country:US
Mailing Address - Phone:786-853-9839
Mailing Address - Fax:
Practice Address - Street 1:5019 FERNCREST DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9212
Practice Address - Country:US
Practice Address - Phone:786-853-9839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker