Individual
MRS. JUNA FLORESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 UPLAND WAY, WEST PALM BEACH, FL 33417-5709
(561) 255-6224
Mailing address
5628 UPLAND WAY, WEST PALM BEACH, FL 33417-5709
(561) 255-6224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811955400
—
FL
05
—
914570200
—
FL
Enumeration date
09/08/2009
Last updated
11/27/2017
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