Healthcare Provider Details

I. General information

NPI: 1134177157
Provider Name (Legal Business Name): JULIE N FINN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 RANCH LAKE BLVD STE 200
LAKEWOOD RANCH FL
34202-3719
US

IV. Provider business mailing address

5860 RANCH LAKE BLVD STE 200
LAKEWOOD RANCH FL
34202-3719
US

V. Phone/Fax

Practice location:
  • Phone: 941-388-8997
  • Fax: 941-306-5876
Mailing address:
  • Phone: 941-388-8997
  • Fax: 941-306-5876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9172757
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: