MEDICARE: MRS. JULIE RENAE PIAZZA PHARM.D.

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
1	183500000X	Pharmacist	PS41379	FL

General Provider Information

NPI Number	:	1396961447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE RENAE PIAZZA PHARM.D.

Provider Business Mailing Address
First Line	:	3450 CARDINAL FEATHER DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-8083
Country	:	US
Telephone Number	:	813-503-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	19034 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2434
Country	:	US
Telephone Number	:	813-631-1547
Fax Number	:	813-631-0718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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