Individual provider · Type 1 NPI

Justin T. Childers

Student in an Organized Health Care Education/Training Program · Boca Raton, FL

NPI number 1710779293 Active

Practice location

777 Glades Rd # BC-71
Boca Raton, FL 33431-6496

Call (407) 353-2467 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710779293

Justin T. Childers's National Provider Identifier is 1710779293, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boca Raton, FL. The record was last updated on May 20, 2025.