Basic Information
Provider Information
NPI: 1881658342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUNIZ
FirstName: FELIX
MiddleName: RAMON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2145 COUNTRY CLUB RD 800
Address2:  
City: JACKSONVILLE
State: NC
PostalCode: 285462400
CountryCode: US
TelephoneNumber: 9109395759
FaxNumber: 9109394951
Practice Location
Address1: 2145 COUNTRY CLUB RD STE 400
Address2:  
City: JACKSONVILLE
State: NC
PostalCode: 285460128
CountryCode: US
TelephoneNumber: 9103532319
FaxNumber: 9103536870
Other Information
ProviderEnumerationDate: 04/13/2006
LastUpdateDate: 02/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X2002-00576NCY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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