Active NPI
Beau Munoz, MD
- Surgical Critical Care Physician
- Jacksonville, FL
National Provider Identifier
1063728053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 26409
- Practice address
- 2005 Knight Lane BLDG H Attn: Medical Staff Services
Medicine Support Command
Jacksonville, FL 32212-0140 - Phone
- (619) 532-8038
- NPI assigned
- Aug 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 26409 | NE | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Critical Care Physician | 2086S0102X | 26409 | NE | Primary |
| Integrative Medicine Physician | 202D00000X | 26409 | NE |
Addresses
Primary practice location
2005 Knight Lane BLDG H Attn: Medical Staff Services
Medicine Support Command
Jacksonville, FL 32212-0140
Mailing address
25003 Peachland Ave Unit 112
Newhall, CA 91321-2525
Phone (661) 310-4629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26409 | NE | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zealcare, Inc | Integrative Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Integrative Medicine Physician
- Research Triangle Park, NC
- NPI 1871435412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1063728053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25003 PEACHLAND AVE UNIT 112",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212525",
"telephone_number": "661-310-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES",
"address_2": "MEDICINE SUPPORT COMMAND",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "619-532-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "BEAU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NE",
"license": "26409",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NE",
"license": "26409",
"primary": true
},
{
"code": "202D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": "NE",
"license": "26409",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.