Individual
EMILIO JORGE JUNCOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12311 TAFT ST, SUITE #1, PEMBROKE PINES, FL 33026-4384
(954) 441-9595
(954) 441-9636
Mailing address
900 BISCAYNE BLVD, 5006, MIAMI, FL 33132-1561
(954) 441-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56624
FL
Other
Enumeration date
07/26/2006
Last updated
12/02/2011
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