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NPI Code Detail

MEDICARE: JOSEPH RAYMOND JUMARANG

MEDICARE:   JOSEPH RAYMOND  JUMARANG
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT34456OTHERFLFLORIDA PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1891340550
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH RAYMOND JUMARANG
Provider Business Mailing Address
First Line : 3731 HARTSFIELD FOREST CIR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-3854
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 905 ASSISI LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32233-2972
Country : US
Telephone Number : 904-667-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 08/08/2019

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Directions to “ JOSEPH RAYMOND JUMARANG ” Practice Location

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