Bozena Zaleska Munguba, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19016 Issued in FL

Practice address

225 N 1St St
Leesburg, FL 34748-5150

Phone

(352) 314-7400

Fax

(352) 360-2389

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1710923727

  General Practice

  Medicare reassignment NPD
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1144624750
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1043530462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 1ST ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485150",
            "telephone_number": "352-314-7400",
            "fax_number": "352-360-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUBA",
        "first_name": "BOZENA",
        "middle_name": "ZALESKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010593000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Morreale, D.C.
• Mitra Mossaddad, MD
• Alisa E Mountain
• Mr. Mobility Medical, Inc.
• Brian Lewis Mundy, PT
• Muni V. Padman, M.D., P.a.
• Muni V. Padman, M.D., P.a.
• Mayra Noemi Munoz Delgado, M.D.
• Elffy Munoz, MD
• Courtland Leroy Munroe, M.D.

• General Practice Dentistry in Leesburg, FL
• Providers in Leesburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.