Individual provider · Type 1 NPI

Michael P. Juneau, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1821077173 Active

Practice location

836 Prudential Dr, Ste 1804
Jacksonville, FL 32207-8345

Fax (904) 400-6675

Mailing address

1824 King St, Ste 200
Jacksonville, FL 32204-4736

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9108713 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1821077173

Michael P. Juneau, PA-C's National Provider Identifier is 1821077173, issued on Jan 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 31, 2025.