Healthcare Provider Details

I. General information

NPI: 1902741937
Provider Name (Legal Business Name): JULIA'S SPIRIT OF LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 OSTEEN RD APT 8
NEW PORT RICHEY FL
34653-3609
US

IV. Provider business mailing address

6701 OSTEEN RD APT 8
NEW PORT RICHEY FL
34653-3609
US

V. Phone/Fax

Practice location:
  • Phone: 172-749-5365
  • Fax:
Mailing address:
  • Phone: 172-749-5365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIA D DAVIS
Title or Position: OWNER /WORKER
Credential:
Phone: 727-495-3656