MEDICARE: JULIE LEMIRE MONFETTE A.P.

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	171100000X	Acupuncturist	AP3329	FL

General Provider Information

NPI Number	:	1669881694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE LEMIRE MONFETTE A.P.

Provider Business Mailing Address
First Line	:	211 NE 8TH AVE
Second Line	:	SUITE 402
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3580
Country	:	US
Telephone Number	:	305-450-1523
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 NE 8TH AVE
Second Line	:	SUITE 402
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3580
Country	:	US
Telephone Number	:	305-450-1523
Fax Number	:

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

Provider Enumeration Date	:	08/04/2014
Last Update Date	:	08/04/2014

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