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NPI Code Detail

MEDICARE: JUNO MEDICAL, INC.

MEDICARE: JUNO MEDICAL, INC.
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
1111N00000XChiropractorCH1365FL

General Provider Information

NPI Number : 1538405543
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNO MEDICAL, INC.
Provider Business Mailing Address
First Line : 14147 US HIGHWAY 1
Second Line :
City : JUNO BEACH
State : FL
Zip : 33408-1427
Country : US
Telephone Number : 561-848-3861
Fax Number :
Provider Business Practice Location Address
First Line : 14147 US HIGHWAY 1
Second Line :
City : JUNO BEACH
State : FL
Zip : 33408-1427
Country : US
Telephone Number : 561-848-3861
Fax Number :
Authorized Official
Title or Position : OWNER/ORESIDENT
Name : SEAN JOHNSON
Credential : DC
Telephone Number : 561-848-3861
Provider Enumeration Date : 12/19/2012
Last Update Date : 12/19/2012

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Directions to “JUNO MEDICAL, INC. ” Practice Location

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