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NPI Code Detail

MEDICARE: JULIANA VILLA

MEDICARE: JULIANA VILLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOTA19177FL

General Provider Information

NPI Number : 1245957620
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANA VILLA
Provider Business Mailing Address
First Line : 6550 150TH AVE N # APTA209
Second Line :
City : CLEARWATER
State : FL
Zip : 33760-2026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-5229
Country : US
Telephone Number : 863-268-2608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2022
Last Update Date : 10/26/2022

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Directions to “ JULIANA VILLA ” Practice Location

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