Healthcare Provider Details

I. General information

NPI: 1336206689
Provider Name (Legal Business Name): JOAQUIN A. NUNEZ,MD,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 10TH AVE N SUITE 106
LAKE WORTH FL
33461-3000
US

IV. Provider business mailing address

2925 10TH AVE N SUITE 106
LAKE WORTH FL
33461
US

V. Phone/Fax

Practice location:
  • Phone: 561-969-9252
  • Fax: 561-969-9257
Mailing address:
  • Phone: 561-969-9252
  • Fax: 561-969-9257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOAQUIN ALBERTO NUNEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 561-969-9252