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NPI Code Detail

MEDICARE: MISS JULIE THOMAS PA-C

MEDICARE: MISS JULIE THOMAS PA-C
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
1363A00000XPhysician AssistantPA9105778FL

General Provider Information

NPI Number : 1700179207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JULIE THOMAS PA-C
Provider Business Mailing Address
First Line : 1514 NIRA ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8652
Country : US
Telephone Number : 904-387-4991
Fax Number : 904-384-3613
Provider Business Practice Location Address
First Line : 1514 NIRA ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8652
Country : US
Telephone Number : 904-384-4991
Fax Number : 904-384-3613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2011
Last Update Date : 03/22/2012

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Directions to “ MISS JULIE THOMAS PA-C” Practice Location

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