MEDICARE: JULLIE SWEETSER FNP-BC

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	363LF0000X	Family Nurse Practitioner	ARNP 9369312	FL

General Provider Information

NPI Number	:	1164885935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULLIE SWEETSER FNP-BC

Provider Business Mailing Address
First Line	:	950 S TAMIAMI TRL STE 206
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7818
Country	:	US
Telephone Number	:	941-363-1030
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 S TAMIAMI TRL STE 206
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7818
Country	:	US
Telephone Number	:	941-363-1030
Fax Number	:

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

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	01/09/2024

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