MEDICARE: JULIA UGAN

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		FL
2	363AS0400X	Surgical Physician Assistant	PA9121407	FL

General Provider Information

NPI Number	:	1144181991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA UGAN

Provider Business Mailing Address
First Line	:	13564 VILLAGE PARK DR UNIT 150
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7765
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:	321-843-5851

Provider Business Practice Location Address
First Line	:	13564 VILLAGE PARK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7760
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:

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

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	05/06/2026

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Directions to “ JULIA UGAN ” Practice Location

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