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NPI Code Detail

MEDICARE: JOSE ENRIQUE NUNEZ

MEDICARE: JOSE ENRIQUE NUNEZ
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538018700
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ENRIQUE NUNEZ
Provider Business Mailing Address
First Line : 701 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3236
Country : US
Telephone Number : 386-943-4522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ JOSE ENRIQUE NUNEZ ” Practice Location

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