Provider Demographics
NPI:1346085396
Name:ZHENG, JUNMING (MS IN MENTAL HEALTH)
Entity type:Individual
Prefix:MR
First Name:JUNMING
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:MS IN MENTAL HEALTH
Other - Prefix:MR
Other - First Name:JUN
Other - Middle Name:
Other - Last Name:ZHENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14914 PORTICO BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5987
Mailing Address - Country:US
Mailing Address - Phone:917-551-0161
Mailing Address - Fax:
Practice Address - Street 1:14914 PORTICO BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5987
Practice Address - Country:US
Practice Address - Phone:917-551-0161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health