Healthcare Provider Details

I. General information

NPI: 1063266757
Provider Name (Legal Business Name): JULIE ANN SUAREZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SE 27TH AVE
BOYNTON BEACH FL
33435-7632
US

IV. Provider business mailing address

7636 EDGEWATER DR
WEST PALM BEACH FL
33406-8718
US

V. Phone/Fax

Practice location:
  • Phone: 561-765-6266
  • Fax:
Mailing address:
  • Phone: 561-234-7445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: