Provider Demographics
NPI:1932640893
Name:JUNCO, JACQUELINE (MD,MPH, AP)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:JUNCO
Suffix:
Gender:F
Credentials:MD,MPH, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 SW 78TH TER
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4663
Mailing Address - Country:US
Mailing Address - Phone:786-271-5214
Mailing Address - Fax:
Practice Address - Street 1:6611 SW 78TH TER
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4663
Practice Address - Country:US
Practice Address - Phone:786-271-5214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-12
Last Update Date:2017-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3808171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist