Individual
ANNA C. JUNCADELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-8070
(239) 624-8071
Mailing address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-8070
(239) 624-8071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-251777
MA
207RG0100X
Gastroenterology Physician
Primary
ME136594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441900
—
FL
01
—
2FZCW
BCBS
FL
01
—
JL427Z
MEDICARE
FL
Enumeration date
06/11/2012
Last updated
11/07/2018
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