Provider Demographics
NPI:1194835900
Name:JUNARD, EMMANUEL O (DC, NMD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:O
Last Name:JUNARD
Suffix:
Gender:M
Credentials:DC, NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18921 NW 2ND AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4008
Mailing Address - Country:US
Mailing Address - Phone:305-770-0607
Mailing Address - Fax:305-770-0607
Practice Address - Street 1:18921 NW 2ND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4008
Practice Address - Country:US
Practice Address - Phone:305-770-0607
Practice Address - Fax:305-770-0607
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7012111NN1001X
DCNAT1000707175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55323Medicare ID - Type Unspecified
FLU57469Medicare UPIN