Juneau, Michael P

Juneau, Michael P is an individual health care provider with primary practice located at 836 Prudential Dr Ste 1804, Jacksonville FL 32207-8345. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Juneau, Michael P can be contacted via phone (904) 398-3888.

Contact Information

Primary practice address
836 Prudential Dr Ste 1804 Jacksonville FL 32207-8345
Phone: (904) 398-3888
Fax: (904) 400-6675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108713 Florida

Profile Details

NPI number 1821077173
LBN Legal business name Juneau, Michael P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Mar 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821077173 NPPES
Georgia MEDICAID 003181725A
Georgia MEDICAID 015882500

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