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NPI Code Detail

MEDICARE: DR. JONATHAN JANMIN CHUNG D.C.

MEDICARE:  DR. JONATHAN JANMIN CHUNG  D.C.
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
1111N00000XChiropractorCH10016FL

General Provider Information

NPI Number : 1356661615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN JANMIN CHUNG D.C.
Provider Business Mailing Address
First Line : 8808 PALOMINO DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-1119
Country : US
Telephone Number : 954-649-4507
Fax Number :
Provider Business Practice Location Address
First Line : 8808 PALOMINO DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-1119
Country : US
Telephone Number : 954-649-4507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 06/13/2013

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Directions to “ DR. JONATHAN JANMIN CHUNG D.C.” Practice Location

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