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NPI Code Detail

MEDICARE: JULIETTE ASTOR M.D.

MEDICARE: JULIETTE ASTOR M.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
1208600000XSurgery Physician35.144101OH
2208D00000XGeneral Practice Physician35.144101OH
3208D00000XGeneral Practice PhysicianME159761FL

General Provider Information

NPI Number : 1598321390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIETTE ASTOR M.D.
Provider Business Mailing Address
First Line : 300 W TYLER ST UNIT 1407
Second Line :
City : TAMPA
State : FL
Zip : 33602-4080
Country : US
Telephone Number : 979-315-1007
Fax Number : 979-315-2393
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 248-660-1220
Fax Number : 979-315-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2019
Last Update Date : 02/13/2026

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