MEDICARE: DR. JULIANA M HUBER DPT

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
1	225100000X	Physical Therapist	PT2869	AR
2	225100000X	Physical Therapist	PT22297	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	228586001	OTHER	AR	CIGNA

General Provider Information

NPI Number	:	1417056029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANA M HUBER DPT

Provider Business Mailing Address
First Line	:	2043 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6132
Country	:	US
Telephone Number	:	954-227-3711
Fax Number	:	954-227-3709

Provider Business Practice Location Address
First Line	:	2043 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6132
Country	:	US
Telephone Number	:	954-227-3711
Fax Number	:	954-227-3709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/15/2014

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