Healthcare Provider Details

I. General information

NPI: 1164482733
Provider Name (Legal Business Name): WILLIAM H JULIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W HILLSBORO BLVD STE 107
COCONUT CREEK FL
33073-4395
US

IV. Provider business mailing address

5300 W HILLSBORO BLVD STE 107
COCONUT CREEK FL
33073-4395
US

V. Phone/Fax

Practice location:
  • Phone: 954-725-4141
  • Fax: 954-725-4318
Mailing address:
  • Phone: 954-725-4141
  • Fax: 954-725-4318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME 59991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: