Individual
DR. JEMELLE JUNE MAYUGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9453 AEGEAN DR, BOCA RATON, FL 33496-6684
(561) 951-3517
(561) 208-1281
Mailing address
2900 N MILITARY TRL, SUITE 245, BOCA RATON, FL 33431-6365
(561) 994-2007
(561) 208-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME88349
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
BM8431366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002107200
—
FL
Enumeration date
12/05/2005
Last updated
03/30/2021
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