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NPI Code Detail

MEDICARE: MR. PRISCILLA CHEREE JULIAN RN

MEDICARE: MR. PRISCILLA CHEREE JULIAN RN
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
11041C0700XClinical Social WorkerRN2967122FL

General Provider Information

NPI Number : 1376872424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PRISCILLA CHEREE JULIAN RN
Provider Business Mailing Address
First Line : 30046 SOTOGRANDE LOOP
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7043
Country : US
Telephone Number : 813-994-4724
Fax Number :
Provider Business Practice Location Address
First Line : 2403 E HENRY AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4434
Country : US
Telephone Number : 813-988-7633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2009
Last Update Date : 12/21/2009

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