Individual
JUANITA R FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Mailing address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME116812
FL
207QA0505X
Adult Medicine Physician
Primary
ME116812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME116812
ME LICENSE
FL
Enumeration date
04/17/2007
Last updated
12/14/2015
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