Provider Demographics
NPI:1063134021
Name:FUGH, JOIRIAN J (DC)
Entity type:Individual
Prefix:DR
First Name:JOIRIAN
Middle Name:J
Last Name:FUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOIRIAN
Other - Middle Name:J
Other - Last Name:FUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2437 AMERICANA BLVD APT 1207
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2892
Mailing Address - Country:US
Mailing Address - Phone:901-491-4568
Mailing Address - Fax:
Practice Address - Street 1:10017 WELLNESS WAY STE 130
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7172
Practice Address - Country:US
Practice Address - Phone:407-658-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor