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NPI Code Detail

MEDICARE: DR. JOONIES EXAMINAVAN

MEDICARE: DR. JOONIES EXAMINAVAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578135489
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JOONIES EXAMINAVAN
Provider Business Mailing Address
First Line : 400 N ASHLEY DR STE 1900
Second Line :
City : TAMPA
State : FL
Zip : 33602-4311
Country : US
Telephone Number : 813-551-3399
Fax Number :
Provider Business Practice Location Address
First Line : 400 N ASHLEY DR STE 1900
Second Line :
City : TAMPA
State : FL
Zip : 33602-4311
Country : US
Telephone Number : 813-551-3399
Fax Number :
Authorized Official
Title or Position : OWNER/PEDIATRIC NURSE PRACTITIONER
Name : JUNE SHANTELLE BRYANT
Credential : APRN
Telephone Number : 813-551-3399
Provider Enumeration Date : 07/12/2021
Last Update Date : 07/12/2021

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Directions to “DR. JOONIES EXAMINAVAN ” Practice Location

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