Juno Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JUNO DERMATOLOGY, LLC

Practice address

3801 Pga Blvd
Suite 107
Palm Beach Gardens, FL 33410-2758

Phone

(561) 594-0050

Fax

(888) 677-3527

NPI assigned

May 6, 2013

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Krishtul, MD

Title

MD/Owner

Phone

(561) 594-0050

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1700221652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD",
            "address_2": "SUITE 107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PGA BLVD",
            "address_2": "SUITE 107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102758",
            "telephone_number": "561-594-0050",
            "fax_number": "888-677-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNO DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "KRISHTUL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "561-594-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.