MEDICARE: JULIANE DIONNE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1104668664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANE DIONNE PA

Provider Business Mailing Address
First Line	:	3135 SW NATURA AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3247
Country	:	US
Telephone Number	:	808-765-8732
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 SW NATURA AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3247
Country	:	US
Telephone Number	:	808-765-8732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2024
Last Update Date	:	06/06/2024

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Directions to “ JULIANE DIONNE PA” Practice Location

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