JUSTIN T CHILDERS
NPI 1710779293
Student in an Organized Health Care Education/Training Program in Boca Raton, FL

Active since May 20, 2025
777 GLADES RD # BC-71, BOCA RATON, FL 33431(407) 353-2467 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin T Childers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN T CHILDERS (NPI 1710779293) is an individual student in an organized health care education/training program in Boca Raton, Florida and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1710779293
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN T CHILDERS
Location Address777 GLADES RD # BC-71Boca Raton, FL 33431-6496
Mailing Address777 Glades Rd # Bc-71Boca Raton, FL 33431-6496 · (407) 353-2467
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1710779293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
777 GLADES RD # BC-71, Boca Raton, FL 33431

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Emergency Medicine
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Pediatrics
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Emergency Medicine
777 GLADES RD # BC-71
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD # BC-71
BOCA RATON, FL 33431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Childers's NPI number?

The NPI number for Justin Childers is 1710779293. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Justin Childers located?

Justin Childers practices at 777 Glades Rd # Bc-71, Boca Raton, FL 33431. The listed phone number is (407) 353-2467.

What is Justin Childers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Childers was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.