Healthcare Provider Details

I. General information

NPI: 1356258347
Provider Name (Legal Business Name): MARIE C JULES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14118 78TH PL N
LOXAHATCHEE FL
33470-5203
US

IV. Provider business mailing address

14118 78TH PL N
LOXAHATCHEE FL
33470-5203
US

V. Phone/Fax

Practice location:
  • Phone: 561-215-5736
  • Fax: 561-792-7599
Mailing address:
  • Phone: 561-215-5736
  • Fax: 561-792-7599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number140618
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: