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NPI Code Detail

MEDICARE: DR. EMILY J JUNE M.D.

MEDICARE:  DR. EMILY J JUNE  M.D.
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
1207Q00000XFamily Medicine PhysicianME90700FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
148654XOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
248654OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770698193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY J JUNE M.D.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-584-4860
Fax Number : 941-584-4859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 08/26/2020

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Directions to “ DR. EMILY J JUNE M.D.” Practice Location

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