Fleming, Juanita R

Fleming, Juanita R is an individual health care provider with primary practice located at 14 W Jordan St , Pensacola FL 32501-1736. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Fleming, Juanita R can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
14 W Jordan St Pensacola FL 32501-1736
Fax: (850) 436-2095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME116812 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME116812 Florida

Profile Details

NPI number 1740406289
LBN Legal business name Fleming, Juanita R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 14th, 2015 - about 9 years ago

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 1740406289 NPPES
Florida Other ME116812 ME LICENSE

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