Provider Demographics
NPI:1932470853
Name:NAVARRO, JUAN PABLO (DC)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:PABLO
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12278 E COLONIAL DR STE 600D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4724
Mailing Address - Country:US
Mailing Address - Phone:407-381-0878
Mailing Address - Fax:407-373-6046
Practice Address - Street 1:860 TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3468
Practice Address - Country:US
Practice Address - Phone:407-483-1266
Practice Address - Fax:407-483-1269
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor