Provider Demographics
NPI:1093700015
Name:NARANJO, JULIAN FERNANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:FERNANDO
Last Name:NARANJO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 223187
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-3187
Mailing Address - Country:US
Mailing Address - Phone:954-457-0064
Mailing Address - Fax:954-457-0601
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 535
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:786-268-4044
Practice Address - Fax:855-490-4044
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71418207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258813702Medicaid
FL258813702Medicaid