Provider Demographics
NPI:1487422655
Name:MUZIK, CHARLOTTE CHRISTINA (APRN)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:CHRISTINA
Last Name:MUZIK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 CROSSWINDS DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-2896
Mailing Address - Country:US
Mailing Address - Phone:850-384-4755
Mailing Address - Fax:
Practice Address - Street 1:4350 CROSSWINDS DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-2896
Practice Address - Country:US
Practice Address - Phone:850-384-4755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily