Healthcare Provider Details

I. General information

NPI: 1194835900
Provider Name (Legal Business Name): EMMANUEL O JUNARD D.C, N.MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18921 NW 2ND AVE SUITE B
MIAMI GARDENS FL
33169-4008
US

IV. Provider business mailing address

18921 NW 2ND AVE SUITE B
MIAMI GARDENS FL
33169-4008
US

V. Phone/Fax

Practice location:
  • Phone: 305-770-0607
  • Fax: 305-770-0607
Mailing address:
  • Phone: 305-770-0607
  • Fax: 305-770-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCH7012
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNAT1000707
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: