Healthcare Provider Details

I. General information

NPI: 1699235465
Provider Name (Legal Business Name): GIULIA CAMMARATA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 41ST OCEAN
MARATHON FL
33050-2373
US

IV. Provider business mailing address

3000 41ST OCEAN
MARATHON FL
33050-2373
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-7660
  • Fax:
Mailing address:
  • Phone: 305-434-7660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN9478940
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: