Munson, Malvin Douglas

Munson, Malvin Douglas is an sole proprietor health care provider with primary practice located at 220 Gala Cir , Daytona Beach FL 32124-2012. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Munson, Malvin Douglas can be contacted via phone (386) 576-6332.

Contact Information

Primary practice address
220 Gala Cir Daytona Beach FL 32124-2012
Phone: (386) 576-6332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 14492 Florida

Profile Details

NPI number 1427654805
LBN Legal business name Munson, Malvin Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427654805 NPPES
Florida MEDICAID 3684

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