Kellie Marlyn Muniz, M.D.

General Practice Physician · Deltona, FL

Individual Active NPI

NPI number 1245256403

Practice location

1235 Providence Blvd Ste G
Deltona, FL 32725-7363
Phone
(386) 473-1940
Fax
(386) 473-1961

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NPI record

NPI
1245256403
Entity type
Individual (Type 1)
Enumeration date
July 14, 2006
Last updated
April 8, 2025
Certified
April 8, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X ACN1284 FL

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone
(800) 480-5243
Fax
(800) 928-7449

About Dr. Muniz

Kellie Marlyn Muniz, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1235 Providence Blvd Ste G, Deltona, FL 32725-7363. The NPI number 1245256403 was assigned on July 14, 2006 and the record was last updated on April 8, 2025.

Dr. Muniz lists a license in the registry: #ACN1284 (FL) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellie Marlyn Muniz, M.D.?

The NPI number is 1245256403.

What is the phone number of Dr. Muniz?

The phone number listed for the practice location is (386) 473-1940.

Where is Dr. Muniz located?

1235 Providence Blvd Ste G, Deltona, FL 32725-7363.

What is the taxonomy code for Dr. Muniz?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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