Provider Demographics
NPI:1043593056
Name:FANJUL, HELIA (DC)
Entity Type:Individual
Prefix:DR
First Name:HELIA
Middle Name:
Last Name:FANJUL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 CENTER ST STE B7
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4363
Mailing Address - Country:US
Mailing Address - Phone:561-277-9087
Mailing Address - Fax:561-277-9136
Practice Address - Street 1:126 CENTER ST STE B7
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4363
Practice Address - Country:US
Practice Address - Phone:561-277-9087
Practice Address - Fax:561-277-9136
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor