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NPI Code Detail

MEDICARE: DR. ALEXANDER C JUNGREIS MD

MEDICARE: DR. ALEXANDER C JUNGREIS MD
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
1174400000XSpecialistME54328FL
2208VP0014XInterventional Pain Medicine PhysicianME54328FL
32084P2900XPain Medicine (Psychiatry & Neurology) PhysicianME54328FL

General Provider Information

NPI Number : 1851352629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER C JUNGREIS MD
Provider Business Mailing Address
First Line : 5400 BROKEN SOUND BLVD NW
Second Line : SUITE 600
City : BOCA RATON
State : FL
Zip : 33487-3521
Country : US
Telephone Number : 561-241-9300
Fax Number : 561-515-8865
Provider Business Practice Location Address
First Line : 1693 LEE RD
Second Line : SUITE B
City : WINTER PARK
State : FL
Zip : 32789-2260
Country : US
Telephone Number : 407-622-5766
Fax Number : 407-622-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 08/12/2014

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