MEDICARE: JULIE KATRYNA NEGRON

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	224Z00000X	Occupational Therapy Assistant	20488	FL

General Provider Information

NPI Number	:	1255286035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KATRYNA NEGRON

Provider Business Mailing Address
First Line	:	2903 NW 9TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-8665
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	734 SW 4TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-1922
Country	:	US
Telephone Number	:	239-910-0712
Fax Number	:

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

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ JULIE KATRYNA NEGRON ” Practice Location

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